Provider Demographics
NPI:1902230006
Name:RODRIGUEZ ABREU, RAFAEL DAVID (MD)
Entity Type:Individual
Prefix:
First Name:RAFAEL
Middle Name:DAVID
Last Name:RODRIGUEZ ABREU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1115 LEXINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31404-5502
Mailing Address - Country:US
Mailing Address - Phone:912-650-5480
Mailing Address - Fax:912-650-5488
Practice Address - Street 1:3025 SHRINE RD STE 450
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:GA
Practice Address - Zip Code:31520-4787
Practice Address - Country:US
Practice Address - Phone:912-264-6133
Practice Address - Fax:912-267-1415
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-26
Last Update Date:2019-09-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA81843207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology