Individual provider Active NPI

Rafael Armando Palacios, PHYSICIAN ASSISTANT

  • Medical Physician Assistant
  • Ocala, FL
National Provider Identifier
1194734954
Registry record updated Dec 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9103290 Issued in FL
Practice address
1431 SW 1St Ave
Ocala Regional Medical Center, DPMT of Emergency Med
Ocala, FL 34471
Phone
(352) 351-7200
NPI assigned
Aug 7, 2006
Last updated
Dec 17, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9103290 FL Primary
Medical Physician Assistant 363AM0700X 04573 TX

Addresses

Primary practice location

1431 SW 1St Ave
Ocala Regional Medical Center, DPMT of Emergency Med
Ocala, FL 34471

Mailing address

2412 SE 27TH St
Ocala, FL 34471-0703
Phone (352) 867-7116

Other names 1

  • Rafael Armando Palacios Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070117000086 FL Practitioner - Physician Assistant 1153347323 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4815 Sweetgrass PL
Unit 201
Jacksonville, FL 32224-0131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9103290FLMDMedical Physician Assistant
04573TXMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Avecina Medical PA CurrentSince Jul 14, 2025 Accepting new patients
Avecina Medical, PA CurrentSince Jul 14, 2025 Accepting new patients
Avecina Medical PA Past Accepting new patients
The University of Texas Health Science Center at San Antonio Past Accepting new patients
Ipn Emergency Physicians of North Florida PA Past Accepting new patients
Dolphin Emergency Physicians LLC Past Accepting new patients
Florida Em-I Medical Services PA Past Accepting new patients

Locations

4815 Sweetgrass Pl
Unit 201
Jacksonville, FL 32224
Phone (904) 367-3372

9580 Applecross Rd
Ste 106
Jacksonville, FL 32222
Phone (904) 778-9180

1633 Race Track Rd
Ste 101
St Johns, FL 32259
Phone (904) 230-6988

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292544000000",
    "number": "1194734954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2412 SE 27TH ST",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344710703",
            "telephone_number": "352-867-7116",
            "fax_number": "352-867-7116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 SW 1ST AVE",
            "address_2": "OCALA REGIONAL MEDICAL CENTER, DPMT OF EMERGENCY MED",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "34471",
            "telephone_number": "352-351-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALACIOS",
        "first_name": "RAFAEL",
        "middle_name": "ARMANDO",
        "name_prefix": "Mr.",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2010-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9103290",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "04573",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAFAEL",
            "last_name": "PALACIOS",
            "middle_name": "ARMANDO",
            "credential": "PAC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.