Provider Demographics
NPI:1659661031
Name:RHINO, RAPHAEL PAULIN II (ST)
Entity type:Individual
Prefix:
First Name:RAPHAEL
Middle Name:PAULIN
Last Name:RHINO
Suffix:II
Gender:M
Credentials:ST
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4529 CORAN LN
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89108-2817
Mailing Address - Country:US
Mailing Address - Phone:702-638-9091
Mailing Address - Fax:
Practice Address - Street 1:2865 SIENA HEIGHTS DR
Practice Address - Street 2:200
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-4167
Practice Address - Country:US
Practice Address - Phone:702-796-1900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-19
Last Update Date:2011-04-19
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist