Provider Demographics
NPI:1609802974
Name:JURADO, RAFAEL LEONARDO (MD)
Entity Type:Individual
Prefix:DR
First Name:RAFAEL
Middle Name:LEONARDO
Last Name:JURADO
Suffix:
Gender:M
Credentials:MD
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Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2410 WINDON CT
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30360-1634
Mailing Address - Country:US
Mailing Address - Phone:770-458-2756
Mailing Address - Fax:
Practice Address - Street 1:1670 CLAIRMONT RD
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30033-4004
Practice Address - Country:US
Practice Address - Phone:404-235-3001
Practice Address - Fax:404-235-3005
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA25877207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease