Rafael Pelegrin M.D,Medical GRP, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

RAFAEL PELEGRIN M.D,MEDICAL GRP, LLC

Practice address

10661 SW 88TH St
Suite 113
Miami, FL 33176-1550

Phone

(305) 279-1929

Fax

(305) 279-1935

NPI assigned

May 24, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Rafael A Pelegrin, M.D.NPI 1861447708

Title

President

Phone

(205) 279-1929

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Rafael A Pelegrin, MD

  • Family Medicine Physician
  • Miami, FL
  • NPI 1861447708
  NPD (past) Authorized official
• Francisco M Bautista, MD

  • Internal Medicine Physician
  • Hialeah, FL
  • NPI 1891742169
  NPD (past)
• Luis M Campillo, MD

  • Family Medicine Physician
  • Miami, FL
  • NPI 1922054352
  NPD (past)

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962457929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10661 SW 88TH ST",
            "address_2": "SUITE 113",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761550",
            "telephone_number": "305-279-1929",
            "fax_number": "305-279-1935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10661 SW 88TH ST",
            "address_2": "SUITE 113",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761550",
            "telephone_number": "305-279-1929",
            "fax_number": "305-279-1935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAFAEL PELEGRIN M.D,MEDICAL GRP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PELEGRIN",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-279-1929",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rafael Crespo, MD, PA
• Rafael G. Madrigal, M.D.,P.a,
• Rafael Gonzalez MD PA
• Rafael L. Nogues MD PA
• Rafael M Hernandez MD PA
• Justin Matthew Rafael, MD
• Raffa Corp
• Raffa Corp
• Raffa WLC Company
• Gabriella Raffa, MD

• Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.