Trespalacios, Rafael

Trespalacios, Rafael is an individual health care provider with primary practice located at 665 S Apollo Blvd , Melbourne FL 32901-1485. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Trespalacios, Rafael can be contacted via phone (321) 984-3200.

Contact Information

Primary practice address
665 S Apollo Blvd Melbourne FL 32901-1485
Fax: (321) 984-2620
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 01061809A Indiana
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X ME98468 Florida

Profile Details

NPI number 1477503696
LBN Legal business name Trespalacios, Rafael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Oct 12th, 2011 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477503696 NPPES
Florida MEDICAID 278521800
Florida Other 14672

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