Rabaza, Jorge Rafael

Rabaza, Jorge Rafael is an individual health care provider with primary practice located at 6200 Sw 72Nd St Ste 502 , South Miami FL 33143-4830. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Rabaza, Jorge Rafael can be contacted via phone (305) 271-9777.

Contact Information

Primary practice address
6200 Sw 72Nd St Ste 502 South Miami FL 33143-4830
Phone: (305) 271-9777
Fax: (305) 533-9450
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X ME0057346 Florida

Profile Details

NPI number 1609841824
LBN Legal business name Rabaza, Jorge Rafael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
Last updated Jul 11th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609841824 NPPES
Florida MEDICAID 064757801

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