Raul S Balagtas MD PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME0059469 Issued in FL

Legal business name

RAUL S BALAGTAS MD PA

Practice address

10330 N Dale Mabry Hwy Ste 201
Tampa, FL 33618-4404

Phone

(813) 961-6633

Fax

(813) 961-7733

NPI assigned

Nov 3, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Raul S Balagtas, MD

Title

Owner

Phone

(813) 964-3050

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1288742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336608000000",
    "number": "1053611384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130009",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336810009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10330 N DALE MABRY HWY STE 201",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336184404",
            "telephone_number": "813-961-6633",
            "fax_number": "813-961-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAUL S BALAGTAS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-03",
        "last_updated": "2012-05-10",
        "status": "A",
        "authorized_official_last_name": "BALAGTAS",
        "authorized_official_first_name": "RAUL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-964-3050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0059469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Rattinger, PHD
• Umesh I Raturi, M.D.
• Rythvic Tapas Rau
• Erin Rauber, MD
• Raul F Nodal Mdpa
• Raul Sierra MD PA
• Christopher Rausch, DPT
• Jessica G Rausch, MD
• Nirav Y. Raval, MD
• Rajendra Raval, M.D.

• Specialist in Tampa, FL
• Providers in Tampa, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.