Healthcare Provider Details

I. General information

NPI: 1073721049
Provider Name (Legal Business Name): RAFAEL D ARANGO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 S HIBISCUS DR
MIAMI BEACH FL
33139-5130
US

IV. Provider business mailing address

140 SOUTH HIBISCUS DR.
MIAMI BEACH FL
33139
US

V. Phone/Fax

Practice location:
  • Phone: 305-532-3237
  • Fax:
Mailing address:
  • Phone: 305-532-3237
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number14242
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: