MEDICARE: RAFERDZ INC

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	207RP1001X	Pulmonary Disease Physician

General Provider Information

NPI Number	:	1588370746
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RAFERDZ INC

Provider Business Mailing Address
First Line	:	2639 W 72ND ST
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33016-5438
Country	:	US
Telephone Number	:	305-335-0041
Fax Number	:

Provider Business Practice Location Address
First Line	:	2639 W 72ND ST
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33016-5438
Country	:	US
Telephone Number	:	305-335-0041
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	RAUL FERNANDEZ
Credential	:	DO
Telephone Number	:	305-335-0041

Provider Enumeration Date	:	01/30/2023
Last Update Date	:	01/30/2023

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Directions to “RAFERDZ INC ” Practice Location

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