Rodriguez, Rafael Antonio
Rodriguez, Rafael Antonio is an sole proprietor health care provider with primary practice located at 3711 88Th St , Jackson Heights NY 11372-7630. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Rodriguez, Rafael Antonio can be contacted via phone (347) 605-2785.Contact Information
Primary practice address
3711 88Th St
Jackson Heights NY 11372-7630
Phone: (347) 605-2785
Fax: (347) 572-8781
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 179642 | New York |
Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 179642 | New York |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 179642 | New York |
Profile Details
NPI number | 1053536250 |
---|---|
LBN Legal business name | Rodriguez, Rafael Antonio |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 16th, 2007 |
Last updated | Dec 12th, 2014 - about 10 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1053536250 | NPPES |
New York | MEDICAID | 01618015 |
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