MEDICARE: RAUL BRAVO

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	163W00000X	Registered Nurse	RN741029	CA

General Provider Information

NPI Number	:	1972914893
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAUL BRAVO

Provider Business Mailing Address
First Line	:	13193 AVENIDA DEL GENERAL
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92129-2904
Country	:	US
Telephone Number	:	858-688-1080
Fax Number	:

Provider Business Practice Location Address
First Line	:	13193 AVENIDA DEL GENERAL
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92129-2904
Country	:	US
Telephone Number	:	858-688-1080
Fax Number	:

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

Provider Enumeration Date	:	05/13/2014
Last Update Date	:	05/13/2014

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1164687257 — BUECHEL CHIROPRACTIC INC
Practice Location Address:

4535 FANUEL ST
SAN DIEGO, CA
92109-2904

Practice Phone: 858-866-6688
Practice Fax: 868-866-5644

1881901932 — STEPHEN CHINN OD A PROFESSIONAL CORPERATION DBA AS STEPHEN CHINN OD
Practice Location Address:

2811 UNIVERSITY AVE , SUITE C
SAN DIEGO, CA
92104-2904

Practice Phone: 619-280-0664
Practice Fax: 619-294-8100

1093067274 — ANISSA NISHIRA CORNELIUS LM, CPM, IBCLC
Practice Location Address:

4545 FANUEL ST
SAN DIEGO, CA
92109-2904

Practice Phone: 858-900-2004
Practice Fax:

1508202722 — JOHN DAVID HOWE SFIDC
Practice Location Address:

10220 COLLETT WAY
SAN DIEGO, CA
92124-2904

Practice Phone: 843-476-2422
Practice Fax:

1811398928 — FLOBAR, LLC
Practice Location Address:

3532 GOVERNOR DR
SAN DIEGO, CA
92122-2904

Practice Phone: 858-412-6560
Practice Fax: 858-412-3520

Directions to “ RAUL BRAVO ” 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.