Rebolledo, Jose Rafael

Rebolledo, Jose Rafael is an sole proprietor health care provider with primary practice located at 343 W Houston St Ste #811, San Antonio TX 78205. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Rebolledo, Jose Rafael can be contacted via phone (210) 222-2175.

Contact Information

Primary practice address
343 W Houston St Ste #811 San Antonio TX 78205
Phone: (210) 222-2175
Fax: (210) 222-9374
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X D3749 Texas

Profile Details

NPI number 1396773883
LBN Legal business name Rebolledo, Jose Rafael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 30th, 2006
Last updated Jul 13th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1396773883 NPPES
Texas MEDICAID 1100075201

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