Provider Demographics
NPI:1669050365
Name:POZO ALFARO, RAFEL ANTONIO
Entity type:Individual
Prefix:
First Name:RAFEL
Middle Name:ANTONIO
Last Name:POZO ALFARO
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 1:3327 MOUNT PLEASANT ST NW APT 2
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010-1871
Mailing Address - Country:US
Mailing Address - Phone:202-465-0521
Mailing Address - Fax:
Practice Address - Street 1:1701 PARK RD NW APT 217
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-2124
Practice Address - Country:US
Practice Address - Phone:202-459-3987
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-01
Last Update Date:2021-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant