MEDICARE: RAFAEL J ARCONE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	148558	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1306007463
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAFAEL J ARCONE MD

Provider Business Mailing Address
First Line	:	79 SW 12TH ST APT 1405
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33130-5203
Country	:	US
Telephone Number	:	951-236-4992
Fax Number	:

Provider Business Practice Location Address
First Line	:	8200 SW 117TH AVE STE 304
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33183-4826
Country	:	US
Telephone Number	:	303-226-5651
Fax Number	:	305-226-2424

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/21/2008
Last Update Date	:	03/08/2021

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