Provider Demographics
NPI:1801822051
Name:DELAFLOR-WEISS, RAFAEL J (MD)
Entity Type:Individual
Prefix:
First Name:RAFAEL
Middle Name:J
Last Name:DELAFLOR-WEISS
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 1:705 E HOUSTON ST
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:TX
Mailing Address - Zip Code:77327-4630
Mailing Address - Country:US
Mailing Address - Phone:281-592-1115
Mailing Address - Fax:281-592-5988
Practice Address - Street 1:705 E HOUSTON ST
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:TX
Practice Address - Zip Code:77327-4630
Practice Address - Country:US
Practice Address - Phone:281-592-1115
Practice Address - Fax:281-592-5988
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ4767207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXF68367Medicare UPIN