Provider Demographics
NPI:1184787004
Name:MAYMI, HECTOR RAFAEL (MD)
Entity type:Individual
Prefix:DR
First Name:HECTOR
Middle Name:RAFAEL
Last Name:MAYMI
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:PO BOX 268
Mailing Address - Street 2:
Mailing Address - City:PUNTA SANTIAGO
Mailing Address - State:PR
Mailing Address - Zip Code:00741-0268
Mailing Address - Country:US
Mailing Address - Phone:787-914-3975
Mailing Address - Fax:
Practice Address - Street 1:355 FONT MARTELO STREET
Practice Address - Street 2:RYDER MEMORIAL HOSPITAL
Practice Address - City:HUMACAO
Practice Address - State:PR
Practice Address - Zip Code:00791
Practice Address - Country:US
Practice Address - Phone:787-852-0768
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR14785207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology