Individual
RODOLFO B PENAFLOR
Active
Individual
RODOLFO B PENAFLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
26756
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110203343
RR MEDICARE
—
01
—
1Z7532
HEALTHNET
—
01
—
860780125
CIGNA
—
01
—
AZ0866370
BLUE CROSS BLUE SHIELD
—
01
—
AZ860780125
UNITED HEALTHCARE
—
Enumeration date
12/01/2005
Last updated
08/18/2022
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