Provider Demographics
NPI:1902086457
Name:ISTURIZ, RAUL E (MD)
Entity Type:Individual
Prefix:
First Name:RAUL
Middle Name:E
Last Name:ISTURIZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CENTRO MEDICO DE CARACAS, SAN BERNARDINO
Mailing Address - Street 2:CONSULTORIO 37, ANEXO A
Mailing Address - City:CARACAS
Mailing Address - State:DISTRITO FEDERAL
Mailing Address - Zip Code:1011
Mailing Address - Country:VE
Mailing Address - Phone:5802120-907-8313
Mailing Address - Fax:
Practice Address - Street 1:US DEPT OF STATE M/MED/QI SA1
Practice Address - Street 2:2401 E STREET NW
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20522-0001
Practice Address - Country:US
Practice Address - Phone:202-663-2453
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-13
Last Update Date:2007-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD034648207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease