Healthcare Provider Details

I. General information

NPI: 1336732536
Provider Name (Legal Business Name): RAFAEL & ANGELINA SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/18/2021
Last Update Date: 07/11/2022
Certification Date: 07/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3807 W FLAGLER ST
CORAL GABLES FL
33134-1603
US

IV. Provider business mailing address

3807 W FLAGLER ST
CORAL GABLES FL
33134-1603
US

V. Phone/Fax

Practice location:
  • Phone: 786-478-9286
  • Fax:
Mailing address:
  • Phone: 786-478-9286
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: PETER SZAJKO
Title or Position: PRESIDENT
Credential:
Phone: 305-551-5018