Rafael Jorge Fornaris, M.D.
Family Medicine in San Antonio, TX. Individual provider (NPI-1).
NPI number1083742829
StatusActive
Last updated in NPPESApr 21, 2020
Details
- NPI
- 1083742829
- Entity type
- Individual (NPI-1)
- Name
- Rafael Jorge Fornaris
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 1, 2007
- Certification date
- Apr 21, 2020
- Last updated
- Apr 21, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | M5165 | TX | Yes |
Practice location
434 Nw Loop 1604Suite 1204
San Antonio, TX 78232
Phone 210-946-6677
Mailing address
863 Celestial VwSan Antonio, TX 78260-4374
Phone 210-833-0389
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