Raul B Zelaya MD PA

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

ME34230 Issued in FL

Legal business name

RAUL B ZELAYA MD PA

Practice address

1188 SW Main Blvd
Lake City, FL 32025-6684

Phone

(386) 752-6506

Fax

(386) 752-6508

NPI assigned

Jan 23, 2008

Last updated

Jan 23, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Raul B Zelaya, M.D.NPI 1366440125

Title

Presdient

Phone

(386) 752-6506

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Raul B Zelaya, MD

  • Orthopaedic Surgery Physician
  • Lake City, FL
  • NPI 1366440125
  NPD (past) Authorized official

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201046400000",
    "number": "1992982722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1188 SW MAIN BLVD",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320256684",
            "telephone_number": "386-752-6506",
            "fax_number": "386-752-6508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1188 SW MAIN BLVD",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320256684",
            "telephone_number": "386-752-6506",
            "fax_number": "386-752-6508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAUL B ZELAYA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-23",
        "last_updated": "2008-01-23",
        "status": "A",
        "authorized_official_last_name": "ZELAYA",
        "authorized_official_first_name": "RAUL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESDIENT",
        "authorized_official_telephone_number": "386-752-6506",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "ME34230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amelia Randolph, DMD, MS
• David F Randolph, DMD
• Tommy Lavaughn Randolph, M.D.
• Britany Ratliff
• Julie Marie Rattley, CMSW
• Shannon R Raulerson
• Ankem Ravindra, MD
• Rajani K Ravindra, MD
• Danae Elise Ray
• Melissa C Raymont, RCS

• Medical Specialty Clinic/Center in Lake City, FL
• Providers in Lake City, FL by specialty
• Medical Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; 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.