Provider Demographics
NPI:1396948840
Name:CARDONA DURAN, RAFAEL F (MD)
Entity type:Individual
Prefix:DR
First Name:RAFAEL
Middle Name:F
Last Name:CARDONA DURAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:96 CALLE TULIP URB. MONTE VERDE REAL
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-5930
Mailing Address - Country:US
Mailing Address - Phone:787-243-7080
Mailing Address - Fax:787-243-3106
Practice Address - Street 1:CARR 199 KM 12 AVE LAS CUMBRES
Practice Address - Street 2:PROFESSIONAL HOSPITAL
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00965
Practice Address - Country:US
Practice Address - Phone:787-243-7080
Practice Address - Fax:888-373-4866
Is Sole Proprietor?:No
Enumeration Date:2007-06-11
Last Update Date:2018-09-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR13634207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery