Rodriguez, Rafael

Rodriguez, Rafael is an sole proprietor health care provider with primary practice located at 9001A Roosevelt Ave 2Nd Floor, Jackson Heights NY 11372-7426. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Rodriguez, Rafael can be contacted via phone (718) 505-0030.

Contact Information

Primary practice address
9001A Roosevelt Ave 2Nd Floor Jackson Heights NY 11372-7426
Phone: (718) 505-0030
Fax: (718) 505-0032
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 228907 New York

Profile Details

NPI number 1144298175
LBN Legal business name Rodriguez, Rafael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 8th, 2006
Last updated Oct 15th, 2010 - about 15 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 1144298175 NPPES
New York MEDICAID 02461109

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