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NPI Code Detail

MEDICARE: DR. LUIS RAUL MACEIRA-RODRIGUEZ MD

MEDICARE:  DR. LUIS RAUL MACEIRA-RODRIGUEZ  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
1207P00000XEmergency Medicine PhysicianME60036FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
312489OTHERFLBCBS GROUP # 45262
412489OTHERFLGROUP # 72076
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1831193770
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LUIS RAUL MACEIRA-RODRIGUEZ MD
Provider Business Mailing Address
First Line : 2896 SUMMER SWAN DR
Second Line :
City : ORLANDO
State : FL
Zip : 32825-7404
Country : US
Telephone Number : 407-207-2146
Fax Number :
Provider Business Practice Location Address
First Line : 2896 SUMMER SWAN DR
Second Line :
City : ORLANDO
State : FL
Zip : 32825-7404
Country : US
Telephone Number : 407-207-2146
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2005
Last Update Date : 02/19/2014

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Directions to “ DR. LUIS RAUL MACEIRA-RODRIGUEZ MD” Practice Location

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