Rodriguez-Sora, Raul J

Rodriguez-Sora, Raul J is an sole proprietor health care provider with primary practice located at 2075 S Cottonwood Dr , Tempe AZ 85282-3040. He recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as his primary health care specialty. Rodriguez-Sora, Raul J can be contacted via phone (480) 718-0568.

Contact Information

Primary practice address
2075 S Cottonwood Dr Tempe AZ 85282-3040
Fax: (520) 290-4881
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 21047 Arizona

Profile Details

NPI number 1811097538
LBN Legal business name Rodriguez-Sora, Raul J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 23rd, 2006
Last updated Apr 25th, 2023 - about last year

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 1811097538 NPPES
Arizona MEDICAID 116005

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