Individual
RAFAEL MALDONADO-ROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
#21 JOSE C. BARBOSA, LAS PIEDRAS, PR 00771-1848
(787) 733-4474
(787) 733-4474
Mailing address
PO BOX 1848, LAS PIEDRAS, PR 00771-1848
(787) 733-4474
(787) 733-4474
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
6818
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
066424
CRUZ AZUL PROVIDER NUMBER
PR
01
—
2-8680
SSS PROVIDER NUMBER
PR
Enumeration date
12/19/2006
Last updated
07/09/2007
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