Provider Demographics
NPI:1013185297
Name:LLINAS, RAUL MARIO (MD)
Entity Type:Individual
Prefix:
First Name:RAUL
Middle Name:MARIO
Last Name:LLINAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2093
Mailing Address - Street 2:
Mailing Address - City:ANASCO
Mailing Address - State:PR
Mailing Address - Zip Code:00610-2093
Mailing Address - Country:US
Mailing Address - Phone:787-669-0024
Mailing Address - Fax:787-826-7900
Practice Address - Street 1:SALUD ATU ALCANCE
Practice Address - Street 2:BO. QUEBRADA LARGA ST # 2 KM 142.2
Practice Address - City:ANASCO
Practice Address - State:PR
Practice Address - Zip Code:00610
Practice Address - Country:US
Practice Address - Phone:787-834-6767
Practice Address - Fax:787-826-7900
Is Sole Proprietor?:No
Enumeration Date:2008-02-11
Last Update Date:2011-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR17527208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation