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1457323404

NPI Code Detail

MEDICARE: RAFAEL A ARTETA-BULOS MD

MEDICARE: RAFAEL A ARTETA-BULOS MD

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
1	207R00000X	Internal Medicine Physician	18663	MS
2	207RX0202X	Medical Oncology Physician	M12049	ID
3	207RH0003X	Hematology & Oncology Physician	ME138482	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1457323404
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAFAEL A ARTETA-BULOS MD

Provider Business Mailing Address
First Line	:	2950 CLEVELAND CLINIC BLVD
Second Line	:
City	:	WESTON
State	:	FL
Zip	:	33331-3625
Country	:	US
Telephone Number	:	954-659-5840
Fax Number	:	954-659-5810

Provider Business Practice Location Address
First Line	:	2950 CLEVELAND CLINIC BLVD
Second Line	:
City	:	WESTON
State	:	FL
Zip	:	33331-3625
Country	:	US
Telephone Number	:	954-659-5840
Fax Number	:	954-659-5810

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/03/2006
Last Update Date	:	10/05/2022

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Directions to “ RAFAEL A ARTETA-BULOS MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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