Mediavilla, Rafael

Mediavilla, Rafael is an sole proprietor health care provider with primary practice located at 33 Renwick Dr , Bridgeport CT 06604-2037. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Mediavilla, Rafael can be contacted via phone (203) 612-4870.

Contact Information

Primary practice address
33 Renwick Dr Bridgeport CT 06604-2037
Phone: (203) 612-4870
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 1664735 New York

Profile Details

NPI number 1225379449
LBN Legal business name Mediavilla, Rafael
Credentials M.S-ESL
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 13th, 2013
Last updated Mar 13th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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