Provider Demographics
NPI:1154494870
Name:ALONSO GODINEZ, RAFAEL E (MD)
Entity Type:Individual
Prefix:DR
First Name:RAFAEL
Middle Name:E
Last Name:ALONSO GODINEZ
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Gender:M
Credentials:MD
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Mailing Address - Street 1:#301 CALLE PALMA DE MALLORCA
Mailing Address - Street 2:MANSIONES DE CIUDAD JARDIN BAIROA
Mailing Address - City:CAQUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00727-1400
Mailing Address - Country:US
Mailing Address - Phone:787-744-4844
Mailing Address - Fax:787-744-4948
Practice Address - Street 1:URB. SAN ALFONSO
Practice Address - Street 2:AVE. DEGETAU A-18
Practice Address - City:CAQUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-744-4844
Practice Address - Fax:787-744-4948
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2012-11-28
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Provider Licenses
StateLicense IDTaxonomies
PR10502207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR83484OtherTRIPLE S
PR064985OtherCRUZ AZUL
PR83457Medicare ID - Type Unspecified
PR83484OtherTRIPLE S