Rufus Etienne, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

7522 Issued in 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

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Dr. Rufus Etienne Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083829329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 305",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007920305",
            "telephone_number": "787-525-1713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "997 K1.0 ST. BO. DESTINO",
            "city": "VIEQUES",
            "state": "PR",
            "postal_code": "00765",
            "telephone_number": "787-741-0392",
            "fax_number": "787-741-2550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETIENNE",
        "first_name": "RUFUS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PR",
            "license": "7522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUFUS",
            "last_name": "ETIENNE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Ricardo Bouyett
• Centro Salud Susana Centeno Vieques (C Vacunacion Vieques)
• Francisco J. Del Olmo, M. D.
• Departamento de Salud Oficial (Centro de Salud Familiar Susana Centeno)
• Departamento de Salud Oficial (Centro de Salud Familiar Susana Centeno)
• Jose Francisco Figueroa, M.D
• Juan Rafael Gonzalez, DMD
• Jason Mark Haley, LCDC
• HPM Foundation Clinical Laboratory
• HPM Foundation Inc (Healthpromed)

• Anesthesiology Physician in Vieques, PR
• Providers in Vieques, PR by specialty
• Anesthesiology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.