DR. RAFAEL PEREZ DE LARA (NPI# 1205036332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205036332 |
| Entity Type | Individual |
| Full Name | DR. RAFAEL PEREZ DE LARA |
| Credential | M.D. |
| Practice Address |
Carr. 678 Km.2.3 Pampanos Vega Alta PR 00692 |
| Mailing Address |
Po Box 3045 Vega Alta PR 00692-3045 |
| Practice Telephone | 7878831732 |
| Mailing Telephone | 7878831732 |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2007-07-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 9866 | PR | Allopathic & Osteopathic Physicians |
| Street Address |
CARR. 678 KM.2.3 PAMPANOS |
| City | VEGA ALTA |
| State | PR |
| Zip Code | 00692 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710588561 | Evelyn Tellado | Physician Assistant | Bo Sabana Hoyos Sec Villa Laguna 383, St Eugenio Maria De Hostos, Vega Alta, PR 00692 | 2020-11-06 |
| 1457952699 | Optica Lm LLC | Durable Medical Equipment & Medical Supplies | Palmas De Cerro Gordo 144, Calle Real G-35, Vega Alta, PR 00692 | 2020-11-04 |
| 1396357802 | Morovis Community Health Center, Inc. | Clinic/Center | Bo. Espinoza, Carr 2 Km 30.2, Vega Alta, PR 00692 | 2020-08-18 |
| 1831707546 | Morovis Community Health Center Inc | Clinic/Center | Bo. Espinosa, Carr 2 Km 30.2, Vega Alta, PR 00692 | 2020-07-20 |
| 1205458379 | Veronica Cristina Ramos Caban | Physician Assistant | Pr-693 Suite 171 Bo. BreÑas, Vega Alta, PR 00692 | 2020-05-12 |
| 1629698196 | Wildalis Novoa-vidot | Student in an Organized Health Care Education/Training Program | Bo Santa Rosa Calle Las Violetas Int Finca#1, Vega Alta, PR 00692 | 2020-04-24 |
| 1073143780 | Andre Medina-sanchez | General Practice | Carr #2 Km 31.9, Bo. Bajura, Vega Alta, PR 00692 | 2020-01-22 |
| 1437797396 | Vega Alta X Ray | Radiology | Urb. Santa Rita, H48 Interior, Vega Alta, PR 00692 | 2019-12-11 |
| 1083251367 | Carmen Milagros Garcia Barreto | Pharmacist | Bo Espinosa Carr 2 Km 30 H 1, Vega Alta, PR 00692 | 2019-12-05 |
| 1255976676 | Carmen M. Navedo-rosado | Social Worker | Calle Higuero #46, Bo. Bajura Almirante, Vega Alta, PR 00692 | 2019-11-08 |
| Find all providers in zip 00692 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144844002 | Cf Medical Services | General Practice | Estancias De Cerro Gordo, 96 Plaza Carmen, Vega Alta, PR 00692-9127 | 2020-06-05 |
| 1073143780 | Andre Medina-sanchez | General Practice | Carr #2 Km 31.9, Bo. Bajura, Vega Alta, PR 00692 | 2020-01-22 |
| 1366914350 | Gerardo Jose Lopez-cepero | General Practice | Calle Munoz Rivera #3, Vega Alta, PR 00692-0000 | 2019-01-02 |
| 1659867323 | Yasdel Oliveras Vazquez | General Practice | Carr 690 Km 2.2 Cerro Gordo, Apt 1, Vega Alta, PR 00638 | 2018-07-06 |
| 1942791066 | Tyrone Michael Crescioni | General Practice | Street 2, Km 31.8, Vega Alta, PR 00692 | 2018-05-24 |
| 1144737255 | Karla Coral Morales Lopez | General Practice | 11 Jaime Acosta St, Vega Alta, PR 00692 | 2018-01-10 |
| 1134643133 | Claudia Mansito-lopez | General Practice | 1306 El Dorado Clb, Vega Alta, PR 00692-8838 | 2017-08-01 |
| 1144521287 | Antonio Soler | General Practice | Road # 2 Km 31.3, Vega Alta, PR 00692 | 2010-11-05 |
| 1275850828 | Polanska Rivera Martinez | General Practice | 137 Ave Central Carmen, Vega Alta, PR 00692-9670 | 2010-04-22 |
| 1215107628 | Salud Directa De Puerto Rico | General Practice | Calle Luis Munoz Rivera #3, Vega Alta, PR 00692 | 2008-03-03 |
| Find all providers in VEGA ALTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.