Provider Demographics
NPI:1194712281
Name:RODRIGUEZ-WERNER, RAFAEL XAVIER (DMD)
Entity type:Individual
Prefix:DR
First Name:RAFAEL
Middle Name:XAVIER
Last Name:RODRIGUEZ-WERNER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 143636
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00614-3636
Mailing Address - Country:US
Mailing Address - Phone:787-740-1919
Mailing Address - Fax:787-650-3584
Practice Address - Street 1:REPARTO ALHAMBRA D95 AVE. LOS MILLONES
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959-0000
Practice Address - Country:US
Practice Address - Phone:787-740-1919
Practice Address - Fax:787-650-3584
Is Sole Proprietor?:No
Enumeration Date:2005-10-04
Last Update Date:2023-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2093122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist