Provider Demographics
NPI:1942334446
Name:ESCABI, RAFAEL E
Entity Type:Individual
Prefix:
First Name:RAFAEL
Middle Name:E
Last Name:ESCABI
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:CARR 306 KM 4.1
Mailing Address - Street 2:BO PARIS
Mailing Address - City:LAJAS
Mailing Address - State:PR
Mailing Address - Zip Code:00667-0583
Mailing Address - Country:US
Mailing Address - Phone:787-899-4242
Mailing Address - Fax:787-899-8023
Practice Address - Street 1:AVENUE FLAMBOYAN NO. 237
Practice Address - Street 2:
Practice Address - City:LAJAS
Practice Address - State:PR
Practice Address - Zip Code:00667-0583
Practice Address - Country:US
Practice Address - Phone:787-899-4242
Practice Address - Fax:787-899-8023
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8831207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRE04129Medicare UPIN