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NPI Code Detail

MEDICARE: DR. RAFAEL A PALMEROLA MD

MEDICARE:  DR. RAFAEL A PALMEROLA  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
1207QA0505XAdult Medicine PhysicianME67254FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
126436VOTHERFLMEDICARE PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1457336877
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RAFAEL A PALMEROLA MD
Provider Business Mailing Address
First Line : 6101 BLUE LAGOON DR STE 400
Second Line :
City : MIAMI
State : FL
Zip : 33126-2051
Country : US
Telephone Number : 305-274-9588
Fax Number : 305-595-2202
Provider Business Practice Location Address
First Line : 975 W 49TH ST
Second Line :
City : HIALEAH
State : FL
Zip : 33012-3412
Country : US
Telephone Number : 305-274-9588
Fax Number : 305-595-2202
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2005
Last Update Date : 12/06/2021

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Directions to “ DR. RAFAEL A PALMEROLA MD” Practice Location

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