Provider Demographics
NPI:1487845780
Name:ESPINET PEREZ, RAFAEL (MD)
Entity Type:Individual
Prefix:
First Name:RAFAEL
Middle Name:
Last Name:ESPINET PEREZ
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:HIBISCUS 2864
Mailing Address - Street 2:URB VILLA FLORES
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00716
Mailing Address - Country:US
Mailing Address - Phone:787-841-2878
Mailing Address - Fax:787-841-2888
Practice Address - Street 1:2864 CALLE HIBISCUS
Practice Address - Street 2:URB VILLA FLORES
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00716-2914
Practice Address - Country:US
Practice Address - Phone:787-841-2878
Practice Address - Fax:787-841-2888
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-05
Last Update Date:2020-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16772207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0028628OtherPR LICENSE
PR0028628OtherPR LICENSE