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NPI Code Detail

MEDICARE: FRANCISCO RAFAEL AUDIVERT MD

MEDICARE: FRANCISCO RAFAEL AUDIVERT 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
12084P0800XPsychiatry Physician110729FL

Other Identifiers

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

General Provider Information

NPI Number : 1427220490
Entity Type Code : Individual
Provider Name (Legal Business Name) : FRANCISCO RAFAEL AUDIVERT MD
Provider Business Mailing Address
First Line : 1695 NW 9TH AVE
Second Line : SUITE 2101
City : MIAMI
State : FL
Zip : 33136-1409
Country : US
Telephone Number : 305-355-8260
Fax Number : 305-355-7266
Provider Business Practice Location Address
First Line : 2141 SW 1ST ST STE 103
Second Line :
City : MIAMI
State : FL
Zip : 33135-1695
Country : US
Telephone Number : 305-644-6024
Fax Number : 305-644-6025
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2008
Last Update Date : 03/09/2022

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Directions to “ FRANCISCO RAFAEL AUDIVERT MD” Practice Location

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