Provider Demographics
NPI:1497400691
Name:ENCARNACION COHEN, RAFAEL Y
Entity Type:Individual
Prefix:DR
First Name:RAFAEL
Middle Name:Y
Last Name:ENCARNACION COHEN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB RIVER GDNS
Mailing Address - Street 2:331 CALLE FLOR DE NACAR
Mailing Address - City:CANOVANAS
Mailing Address - State:PR
Mailing Address - Zip Code:00729-3372
Mailing Address - Country:US
Mailing Address - Phone:787-342-6566
Mailing Address - Fax:
Practice Address - Street 1:CALLE HOSTOS #3, SANTA ISABEL , P.R. 00757
Practice Address - Street 2:
Practice Address - City:SANTA ISABEL
Practice Address - State:PR
Practice Address - Zip Code:00757
Practice Address - Country:US
Practice Address - Phone:787-845-4040
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-16
Last Update Date:2022-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR22901208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice