Healthcare Provider Details

I. General information

NPI: 1609468990
Provider Name (Legal Business Name): RAPC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2021
Last Update Date: 02/08/2021
Certification Date: 02/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2550 S DOUGLAS RD STE 301
CORAL GABLES FL
33134-6104
US

IV. Provider business mailing address

2550 S DOUGLAS RD STE 301
CORAL GABLES FL
33134-6104
US

V. Phone/Fax

Practice location:
  • Phone: 305-456-1014
  • Fax:
Mailing address:
  • Phone: 305-456-1014
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: RAFAEL A PADRO
Title or Position: MANAGER
Credential: AP, DOM
Phone: 305-456-1014