Rafael Gottenger MD PA

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

ME91263 Issued in FL

Legal business name

RAFAEL GOTTENGER MD PA

Practice address

7330 SW 62ND PL
Suite #205
South Miami, FL 33143-4825

Phone

(305) 669-0900

Fax

(305) 669-0100

NPI assigned

Jun 7, 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 David Gottenger, MDNPI 1144215617

Title

President

Phone

(305) 669-0900

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rafael David Gottenger, MD

  • Plastic Surgery Physician
  • South Miami, FL
  • NPI 1144215617
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489536000000",
    "number": "1679776462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 431900",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "332431900",
            "telephone_number": "305-669-0900",
            "fax_number": "305-669-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7330 SW 62ND PL",
            "address_2": "SUITE #205",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434825",
            "telephone_number": "305-669-0900",
            "fax_number": "305-669-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAFAEL GOTTENGER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2017-03-15",
        "status": "A",
        "authorized_official_last_name": "GOTTENGER",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-669-0900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME91263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "K7623",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nadya Naomi Rachid, SLP
• Radiant Source Inc. (Radiant Source Acupuncture & Herbs)
• Radiology Associates of Hollywood, Inc.
• Rafael a Palmerola MD P a
• Rafael Angel Gonzalez MD PA
• Raj Uttamchandani, MD, PA
• Harish Raja, MD
• Tehmur Raja
• Neil Ramani, MD
• Rachana Ramesh Amberker, MBBS

• Plastic Surgery Physician in South Miami, FL
• Providers in South Miami, FL by specialty
• Plastic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.