Rafael a Palmerola MD P a

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME67254 Issued in FL

Legal business name

RAFAEL A PALMEROLA MD P A

Practice address

7875 SW 66TH St
South Miami, FL 33143-2712

Phone

(786) 326-8608

NPI assigned

Jul 4, 2006

Organization subpart

No

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

Authorized official

Name

Eileen Suarez

Title

Billing Manager

Phone

(786) 843-9059

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566864000000",
    "number": "1790715688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7875 SW 66TH ST",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331432712",
            "telephone_number": "786-326-8608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7875 SW 66TH ST",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331432712",
            "telephone_number": "786-326-8608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAFAEL A PALMEROLA MD P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2019-08-27",
        "status": "A",
        "authorized_official_last_name": "SUAREZ",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "786-843-9059"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME67254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "377249700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "AK108",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Harish Raja, MD
• Tehmur Raja

• Family Medicine Physician in South Miami, FL
• Providers in South Miami, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; 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.