Individual
RAFAEL ALBERTO JUSTINIANO MAGRANER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-0000
Mailing address
1501 KINGS HWY, SHREVEPORT, LA 71103-4228
(787) 354-1896
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
312265
LA
208D00000X
General Practice Physician
20938
PR
Other
Enumeration date
08/08/2013
Last updated
09/20/2019
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