MR. Rafael Mediavilla, M.S-ESL
NPI #1225379449 in Bridgeport, Connecticut
Provider Information
- NPI Number
- 1225379449
- Entity Type
- Individual
- Name
- MR. Rafael Mediavilla, M.S-ESL
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Credential
- M.S-ESL
- Enumeration Date
- Mar 13, 2013
- Last Updated
- Mar 13, 2013
Practice Location
- Address
- 33 RENWICK DR
- City
- Bridgeport
- State
- Connecticut
- ZIP Code
- 06604-2037
- Phone
- (203) 612-4870
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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