MR. RAFAEL MARROQUIN 989057 NPI 1396960134

NPI Information

MR. Rafael Marroquin, 989057 is a specialist in Riverside, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MR. Rafael Marroquin, 989057 NPI is 1396960134. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4500 BROCKTON AVE
SUITE 317
RIVERSIDE, CA
ZIP 92501-090
Phone: (951) 367-2111
Fax: (951) 367-1585

The enumeration date for this NPI number is 4/16/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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