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NPI Code Detail

MEDICARE: RAFAEL ALBERTO MARTINEZ LUNA

MEDICARE:   RAFAEL ALBERTO MARTINEZ LUNA
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
1343900000XNon-emergency Medical Transport (VAN)

General Provider Information

NPI Number : 1194592022
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAFAEL ALBERTO MARTINEZ LUNA
Provider Business Mailing Address
First Line : 5927 LK PT VILLAGE CIR APT 810
Second Line :
City : ORLANDO
State : FL
Zip : 32822-3565
Country : US
Telephone Number : 201-973-6568
Fax Number :
Provider Business Practice Location Address
First Line : 5927 LK PT VILLAGE CIR APT 810
Second Line :
City : ORLANDO
State : FL
Zip : 32822-3565
Country : US
Telephone Number : 201-973-6568
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2023
Last Update Date : 12/11/2023

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Directions to “ RAFAEL ALBERTO MARTINEZ LUNA ” Practice Location

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