Individual
DR. RAFAEL E CUELLAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2341 S MELROSE DR, VISTA, CA 92081-8788
(760) 599-1222
(760) 599-1221
Mailing address
2341 S MELROSE DR, VISTA, CA 92081-8788
(760) 599-1222
(760) 599-1221
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A42213
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A422130
—
CA
01
—
A42213
LICENSE
CA
Enumeration date
12/05/2006
Last updated
12/16/2010
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