Provider Demographics
NPI:1669421830
Name:CALDERON - RODRIGUEZ, RAFAEL E (MD)
Entity type:Individual
Prefix:MR
First Name:RAFAEL
Middle Name:E
Last Name:CALDERON - RODRIGUEZ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 29134
Mailing Address - Street 2:CARDIOLOGIA RCM
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00929-0134
Mailing Address - Country:US
Mailing Address - Phone:787-754-8500
Mailing Address - Fax:787-274-8156
Practice Address - Street 1:CARDIOVASCULAR CENTER OF PUERTO RICO AND THE CARIBBEAN
Practice Address - Street 2:SUITE 4, MEDICAL CENTER OF PUERTO RICO
Practice Address - City:RIO PIEDRAS
Practice Address - State:PR
Practice Address - Zip Code:00936
Practice Address - Country:US
Practice Address - Phone:787-754-8500
Practice Address - Fax:787-274-8156
Is Sole Proprietor?:No
Enumeration Date:2006-05-08
Last Update Date:2010-10-25
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Provider Licenses
StateLicense IDTaxonomies
PR7014207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRD99568Medicare UPIN
PR28106Medicare ID - Type Unspecified