Dias, Raquel Huruta

Dias, Raquel Huruta is an sole proprietor health care provider with primary practice located at 1305 Post Rd Suite 103, Fairfield CT 06824-6016. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Dias, Raquel Huruta can be contacted via phone (203) 955-1990.

Contact Information

Primary practice address
1305 Post Rd Suite 103 Fairfield CT 06824-6016
Phone: (203) 955-1990
Fax: (203) 955-1991
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 047845 Connecticut

Profile Details

NPI number 1063600211
LBN Legal business name Dias, Raquel Huruta
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 11th, 2007
Last updated Jun 16th, 2014 - about 12 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 1063600211 NPPES
Connecticut MEDICAID 008004317
Connecticut MEDICAID 1063600211

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