Provider Demographics
NPI:1497901987
Name:ALBA YUNEN, RAFAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:RAFAEL
Middle Name:
Last Name:ALBA YUNEN
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 1:515 MALLERY ST
Mailing Address - Street 2:UNIT O
Mailing Address - City:ST SIMONS ISLAND
Mailing Address - State:GA
Mailing Address - Zip Code:31522-4079
Mailing Address - Country:US
Mailing Address - Phone:305-282-2166
Mailing Address - Fax:
Practice Address - Street 1:2500 STARLING ST
Practice Address - Street 2:SUITE 504
Practice Address - City:BRUNSWICK
Practice Address - State:GA
Practice Address - Zip Code:31520-4265
Practice Address - Country:US
Practice Address - Phone:912-466-5504
Practice Address - Fax:912-466-5593
Is Sole Proprietor?:No
Enumeration Date:2008-08-15
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA074979207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine