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Rafael Mediavilla, M.S-ESL
NPI 1225379449 · on the registry since 2013 · sole proprietor
Practice
- Address
- 33 Renwick Dr
Bridgeport, CT 06604 - Phone
- (203) 612-4870
Registry record
- Primary taxonomy
- Specialist
174400000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-03-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut