Individual
DR. JOSE RAFAEL FOURNIER REBOLLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
VAMC, CASIA ST. #10, SAN JUAN, PR 00926
(787) 758-2525
Mailing address
PO BOX 2639, BAYAMON, PR 00960-2639
(787) 562-3095
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
13755
PR
208800000X
Urology Physician
Primary
13755
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13755
STATE LICENSE
PR
Enumeration date
09/07/2006
Last updated
09/16/2016
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