Martin, Rafael Ernesto

Martin, Rafael Ernesto is an sole proprietor health care provider with primary practice located at Estacionamiento La Galeria Suite 611 1451 Avenida Ashford Esquina Nair, San Juan PR 00967-1507. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Martin, Rafael Ernesto can be contacted via phone (787) 724-3407.

Contact Information

Primary practice address
Estacionamiento La Galeria Suite 611 1451 Avenida Ashford Esquina Nair San Juan PR 00967-1507
Phone: (787) 724-3407
Fax: (787) 724-8945
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 2679 Puerto Rico

Profile Details

NPI number 1609865807
LBN Legal business name Martin, Rafael Ernesto
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2005
Last updated Jan 19th, 2010 - about 16 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 1609865807 NPPES
Puerto Rico MEDICAID 92342

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