Provider Demographics
NPI:1003992439
Name:RAPOPORT, ALAN H (MD, FACP)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:H
Last Name:RAPOPORT
Suffix:
Gender:M
Credentials:MD, FACP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 WASHINGTON ST., SUITE 601
Mailing Address - Street 2:ASHFORD MEDICAL CENTER
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00907-1521
Mailing Address - Country:US
Mailing Address - Phone:787-724-3082
Mailing Address - Fax:787-725-6357
Practice Address - Street 1:29 CALLE WASHINGTON, SUITE 601
Practice Address - Street 2:ASHFORD MEDICAL CENTER
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00907-1521
Practice Address - Country:US
Practice Address - Phone:787-724-3082
Practice Address - Fax:787-725-6357
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2503207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRC78030Medicare UPIN
PR93452Medicare ID - Type Unspecified