Healthcare Provider Details

I. General information

NPI: 1427996883
Provider Name (Legal Business Name): RAQUEL SARAHI GONZALEZ MOLINA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2026
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 HOSPITAL DR
MACON GA
31217-3838
US

IV. Provider business mailing address

209 MANDALIN DR
WARNER ROBINS GA
31098-1188
US

V. Phone/Fax

Practice location:
  • Phone: 787-908-3619
  • Fax:
Mailing address:
  • Phone: 787-908-3619
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number071931630
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: