| Rafael Villarosa, M.d. | |
|
255 Terracina Blvd Ste 207 Redlands CA 92373-4870 | |
| (909) 793-2226 | |
| (909) 793-3336 |
| Full Name | Rafael Villarosa, M.d. |
|---|---|
| Speciality | Internal Medicine |
| Location | 255 Terracina Blvd Ste 207, Redlands, California |
| Authorized Official Name and Position | Rafael Villarosa (OWNER) |
| Authorized Official Contact | 9097932226 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rafael Villarosa, M.d. 255 Terracina Blvd Ste 207 Redlands CA 92373-4870 Ph: (909) 793-2226 | Rafael Villarosa, M.d. 255 Terracina Blvd Ste 207 Redlands CA 92373-4870 Ph: (909) 793-2226 |
| NPI Number | 1154518207 |
|---|---|
| Provider Enumeration Date | 10/02/2007 |
| Last Update Date | 10/12/2007 |
| Medicare PECOS PAC ID | 3779577481 |
|---|---|
| Medicare Enrollment ID | O20040414000228 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154518207 | NPI | - | NPPES |
| 00C504630 | Medicaid | CA | |
| C50453 | Other | CA | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | C50463 (California) | Primary |
| Provider Name | Rafael H Villarosa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538101860 PECOS PAC ID: 7810981529 Enrollment ID: I20040414000266 |
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