MEDICARE: RAFAEL WILSON

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	343900000X	Non-emergency Medical Transport (VAN)	CGL5363	AZ

General Provider Information

NPI Number	:	1740848605
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAFAEL WILSON

Provider Business Mailing Address
First Line	:	1447 CALLE CIBOLA
Second Line	:
City	:	SIERRA VISTA
State	:	AZ
Zip	:	85635-9301
Country	:	US
Telephone Number	:	702-296-5724
Fax Number	:

Provider Business Practice Location Address
First Line	:	1447 CALLE CIBOLA
Second Line	:
City	:	SIERRA VISTA
State	:	AZ
Zip	:	85635-9301
Country	:	US
Telephone Number	:	702-296-5724
Fax Number	:

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

Provider Enumeration Date	:	06/04/2019
Last Update Date	:	06/04/2019

Similar Medicare Providers

1538721972 — TRANSMED
Practice Location Address:

1447 CALLE CIBOLA
SIERRA VISTA, AZ
85635-9301

Practice Phone: 702-296-5724
Practice Fax:

1962343467 — ALDRA WALKER
Practice Location Address:

75 N GARDEN AVE
SIERRA VISTA, AZ
85635-3805

Practice Phone: 520-508-6491
Practice Fax:

1285221663 — AMERICAN MEDICAL RESPONSE OF COCHISE COUNTY LLC
Practice Location Address:

4266 INDUSTRY DR STE 3
SIERRA VISTA, AZ
85635-2255

Practice Phone: 520-459-4040
Practice Fax:

1790623783 — ERIK ROBLES-MORENO
Practice Location Address:

3305 E FRY BLVD
SIERRA VISTA, AZ
85635-2990

Practice Phone: 520-515-2700
Practice Fax:

1235077223 — DR. SAUMYA SURTI MAHAMMAD DO
Practice Location Address:

5700 E HIGHWAY 90
SIERRA VISTA, AZ
85635-9110

Practice Phone: 520-263-3161
Practice Fax:

1801735675 — ANKIT NANDA
Practice Location Address:

5700 E HIGHWAY 90
SIERRA VISTA, AZ
85635-9110

Practice Phone: 520-263-2000
Practice Fax:

Directions to “ RAFAEL WILSON ” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.