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NPI Code Detail

MEDICARE: RACHAEL OSPINA PA-C

MEDICARE: RACHAEL OSPINA PA-C
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
1363A00000XPhysician Assistant6456CT
2363A00000XPhysician Assistant9642AZ
3363A00000XPhysician Assistant11584GA
4363A00000XPhysician Assistant030679NY
5363A00000XPhysician AssistantPA9107531FL

General Provider Information

NPI Number : 1457755969
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHAEL OSPINA PA-C
Provider Business Mailing Address
First Line : 109 STATE ST STE 5
Second Line :
City : BOSTON
State : MA
Zip : 02109-2906
Country : US
Telephone Number : 617-505-1520
Fax Number : 617-928-8401
Provider Business Practice Location Address
First Line : 1688 MERIDIAN AVE STE 700
Second Line :
City : MIAMI BEACH
State : FL
Zip : 33139-2713
Country : US
Telephone Number : 617-505-1520
Fax Number : 617-928-8401
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2014
Last Update Date : 05/13/2026

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Directions to “ RACHAEL OSPINA PA-C” Practice Location

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