Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Rafael Marroquin, 989057

Individual provider Specialist · NPI 1396960134

Mr. Rafael Marroquin, 989057 is a Specialist in Riverside, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
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Practice location Address checks out

4500 Brockton Ave Ste 317
Riverside, CA 92501-4090
Phone: (951) 367-2111
Fax: (951) 367-1585
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 989057 (CA)

Record details

NPI number1396960134
Entity typeIndividual (Type 1)
GenderMale
Credentials 989057
Sole proprietorYes
NPI enumeratedApril 16, 2007
Last updated in NPPESJuly 8, 2007

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