Rafael Medina, MD, PLLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

212374-1 Issued in NY

Legal business name

RAFAEL MEDINA, MD, PLLC

Practice address

564 Niagara St
Buffalo, NY 14201-1108

Phone

(716) 882-0461

Fax

(716) 882-0463

NPI assigned

Jul 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Rafael R. Medina, MD

Title

Ophthalmologist

Phone

(716) 882-0461

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199059200000",
    "number": "1427257518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "564 NIAGARA ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142011108",
            "telephone_number": "716-882-0461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "564 NIAGARA ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142011108",
            "telephone_number": "716-882-0461",
            "fax_number": "716-882-0463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAFAEL MEDINA, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2007-12-31",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OPHTHALMOLOGIST",
        "authorized_official_telephone_number": "716-882-0461",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "212374-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02110983",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marija Radovic, M.D.
• Vladan Radovic, M.D.
• Mohammed Radwan
• Christopher David Radziwon, PH.D
• Michaela Camille Raes, PHARMD
• Michael B Raftree, D.O.
• Diana Ragau, MS SPECIAL EDUCATION
• Maya Raghavan
• Emilie Amanda Rago
• Caroline Ann Ragusa, MC CCC/SLP

• Ophthalmology Physician in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2007; 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.