MEDICARE: RAFAEL CORRALES MENDOZA

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	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1831056332
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAFAEL CORRALES MENDOZA

Provider Business Mailing Address
First Line	:	7131 N 50TH ST
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33617-8403
Country	:	US
Telephone Number	:	813-774-2342
Fax Number	:

Provider Business Practice Location Address
First Line	:	7131 N 50TH ST
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33617-8403
Country	:	US
Telephone Number	:	813-774-2342
Fax Number	:

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

Provider Enumeration Date	:	01/06/2026
Last Update Date	:	01/06/2026

Similar Medicare Providers

1083087894 — PREMIER MEDICAL EQUIPMENT, INC
Practice Location Address:

8403 BENJAMIN RD , SUITE A
TAMPA, FL
33634-1204

Practice Phone: 813-903-2382
Practice Fax: 813-425-7759

1285634667 — DR. DANIEL E. BUFFINGTON PHARMD, MBA
Practice Location Address:

6285 E FOWLER AVE
TAMPA, FL
33617-3304

Practice Phone: 813-983-1500
Practice Fax: 813-983-1501

1174517718 — SANJA COSIC MD
Practice Location Address:

5001 E BUSCH BLVD
TAMPA, FL
33617-5303

Practice Phone: 813-984-8846
Practice Fax: 813-988-8827

1104811462 — SUJATHA REDDY BORRA MD
Practice Location Address:

13333 N 56TH ST
TAMPA, FL
33617-1161

Practice Phone: 813-983-0894
Practice Fax:

1679568703 — SANDRA BETH GOODMAN M.D.
Practice Location Address:

5245 E FLETCHER AVE , SUITE 1
TAMPA, FL
33617-1126

Practice Phone: 813-914-7304
Practice Fax: 813-676-8812

1528053667 — MARC A BERNHISEL M.D.
Practice Location Address:

5245 E FLETCHER AVE , SUITE 1
TAMPA, FL
33617-1126

Practice Phone: 813-914-7304
Practice Fax: 813-676-8838

Directions to “ RAFAEL CORRALES MENDOZA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.