Provider Demographics
NPI:1982457388
Name:TIONGCO, RAFAEL FELIX PLEYTO
Entity Type:Individual
Prefix:
First Name:RAFAEL FELIX
Middle Name:PLEYTO
Last Name:TIONGCO
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 1:3300 HIDDEN POINTE CV
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23452-6279
Mailing Address - Country:US
Mailing Address - Phone:757-637-5624
Mailing Address - Fax:
Practice Address - Street 1:2021 PERDIDO ST RM 6240
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70112-1352
Practice Address - Country:US
Practice Address - Phone:504-568-7912
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-08
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program