Maria N Rafael, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP9300120 Issued in FL

Practice address

1715 Eagle Harbor Pkwy Ste B
Fleming Island, FL 32003-4324

Phone

(904) 990-3477

Fax

(904) 621-9272

NPI assigned

Sep 12, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1536710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536710400000",
    "number": "1770066078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 EAGLE HARBOR PKWY STE B",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320034324",
            "telephone_number": "904-990-3477",
            "fax_number": "904-621-9272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 EAGLE HARBOR PKWY STE B",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320034324",
            "telephone_number": "904-990-3477",
            "fax_number": "904-621-9272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFAEL",
        "first_name": "MARIA",
        "middle_name": "N",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-12",
        "last_updated": "2018-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9300120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pulmonary and Critical Care Associates P a
• Abdul A Qazizada, M.D.
• Mariah Alexandra Quero, APRN
• Chloe Rachal
• Dawn Elizabeth Radford-Dias, DO
• Tarun Rai, M.D.
• Shwetha Shri Rajagopalan
• Pooja Rana
• Raychel Lee Raymer
• Maria Magdalena Ready, PA

• Family Nurse Practitioner in Fleming Island, FL
• Providers in Fleming Island, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2018; 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.