Provider Demographics
NPI:1902160690
Name:DE LEON-BORRAS, RAFAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:RAFAEL
Middle Name:
Last Name:DE LEON-BORRAS
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 1:5132 AVE MIGUEL DE MUESAS
Mailing Address - Street 2:
Mailing Address - City:CAYEY
Mailing Address - State:PR
Mailing Address - Zip Code:00736-5703
Mailing Address - Country:US
Mailing Address - Phone:787-900-6016
Mailing Address - Fax:787-848-0318
Practice Address - Street 1:HOSPITAL MENONITA AIBONITO
Practice Address - Street 2:JOSE C VAZQUEZ ST BO CANILLAS
Practice Address - City:AIBONITO
Practice Address - State:PR
Practice Address - Zip Code:00705
Practice Address - Country:US
Practice Address - Phone:787-900-6016
Practice Address - Fax:787-848-0318
Is Sole Proprietor?:No
Enumeration Date:2012-06-27
Last Update Date:2018-05-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR19033207RI0200X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease