Provider Demographics
NPI:1467415653
Name:TABOAS, RAFAEL A (MD)
Entity Type:Individual
Prefix:DR
First Name:RAFAEL
Middle Name:A
Last Name:TABOAS
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Gender:F
Credentials:MD
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Mailing Address - Street 1:525 AVE FD ROOSEVELT
Mailing Address - Street 2:TORRE DE PLAZA ; SUITE 705
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00918-8001
Mailing Address - Country:US
Mailing Address - Phone:787-767-0599
Mailing Address - Fax:787-756-0774
Practice Address - Street 1:525 AVE FD ROOSEVELT
Practice Address - Street 2:TORRE DE PLAZA ; SUITE 705
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-8001
Practice Address - Country:US
Practice Address - Phone:787-767-0599
Practice Address - Fax:787-756-0774
Is Sole Proprietor?:No
Enumeration Date:2006-04-09
Last Update Date:2008-03-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR8103207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology