Rufus Etienne, M.D.

Individual provider Active NPI Anesthesiology Physician · Vieques, PR

NPI 1083829329 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1083829329
Entity type
Individual (NPI type 1)
Primary specialty
Anesthesiology Physician 207L00000X
License
7522 (PR)
Practice address
997 K1.0 St. Bo. Destino
Vieques, PR 00765
Phone
(787) 741-0392
Fax
(787) 741-2550
NPI assigned
May 11, 2007
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
7522PRMDAnesthesiology Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 7522 PR Yes

Addresses

Primary practice location

997 K1.0 St. Bo. Destino
Vieques, PR 00765

Mailing address

PO Box 305
Humacao, PR 00792-0305
Phone (787) 525-1713

Other names

  • Dr. Rufus Etienne Professional name

Other providers in Vieques, PR

All providers in Vieques, PR · Anesthesiology Physician in Puerto Rico

Sources for this page

Verify at the official NPI Registry.