Rabaza, Jorge Rafael
Rabaza, Jorge Rafael is an individual health care provider with primary practice located at 6200 Sw 72Nd St Ste 502 , South Miami FL 33143-4830. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Rabaza, Jorge Rafael can be contacted via phone (305) 271-9777.Contact Information
Primary practice address
6200 Sw 72Nd St Ste 502
South Miami FL 33143-4830
Phone: (305) 271-9777
Fax: (305) 533-9450
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | ME0057346 | Florida |
Profile Details
NPI number | 1609841824 |
---|---|
LBN Legal business name | Rabaza, Jorge Rafael |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 21st, 2006 |
Last updated | Jul 11th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1609841824 | NPPES |
Florida | MEDICAID | 064757801 |
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