RAFAEL AUGUSTO RONDON (NPI# 1568667715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568667715 |
| Entity Type | Individual |
| Full Name | RAFAEL AUGUSTO RONDON |
| Credential | MD |
| Practice Address |
12421 N Florida Ave Ste 202 Tampa FL 33612-4271 |
| Practice Telephone | 8135174629 |
| Practice Fax Number | 8132001036 |
| Mailing Telephone | 8135174629 |
| Mailing Fax Number | 8132001036 |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2020-02-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | ME100751 | FL | Allopathic & Osteopathic Physicians |
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
ME100751 | FL | Allopathic & Osteopathic Physicians |
| N | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
0101242340 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE | AK669Z | 01 | |
| FL | MEDICARE | AK669Z | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3030 North Rocky Point Drive West, Suite 670, Tampa, FL 336075906 | 8132896597 | 8132896592 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699856674 | Rafael Ricardo Rondon | Emergency Medicine | 84 Ashland Ave, Buffalo, NY 14222-2102 | 2006-10-18 |
| 1124629373 | Rafael R Rondon | Dental Hygienist | 5706 Benjamin Center Dr Ste 103, Tampa, FL 33634-5262 | 2020-11-04 |
| Street Address |
12421 N FLORIDA AVE STE 202 |
| City | TAMPA |
| State | FL |
| Zip Code | 33612-4271 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821579046 | Bestcare Physician Services LLC. | Internal Medicine | 12421 N Florida Ave Ste 202, Tampa, FL 33612-4271 | 2018-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689286767 | Daniel Jimenez | Physical Therapist | 13000 Bruce B Downs Blvd, Tampa, Fl, Tampa, FL 33612 | 2020-08-19 |
| 1700426830 | Taz Stacy | Behavior Technician | 2701 University Square Drive, Tampa, FL 33612 | 2020-01-07 |
| 1841853215 | Eric Austen Keeler | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd, Mdc5, Tampa, FL 33612 | 2019-04-20 |
| 1346700242 | Caitlyn Victoria Cartwright | Student in an Organized Health Care Education/Training Program | 12901 Bruce B. Downs Blvd., Mdc5, Tampa, FL 33612 | 2019-03-25 |
| 1720552953 | Marijo Bilitski | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd # Blvd5, Tampa, FL 33612 | 2019-01-22 |
| 1790259190 | Belkis Aleman | Nurse Practitioner | 205 E Busch Blvd, Tampa, FL 33612 | 2019-01-18 |
| 1811469133 | Stephanie Stegner | Physician Assistant | 12901 Bruce B Downs Blvd Mdc 5, Tampa, FL 33612 | 2018-12-27 |
| 1053889857 | Alysia Heather Siegel | Psychologist | 1300 Bruce B. Downs Boulevard, 116b, Tampa, FL 33612 | 2018-11-09 |
| 1295202489 | Daisy Baby Pulinilkumkalayil | Nurse Practitioner | 1426 W. Bush Blvd. Suite #105, Suite #105, Tampa, FL 33612 | 2018-10-26 |
| 1649745258 | Rachel Rene Shelton | Specialist/Technologist | Orthopedics and Sports Medicine, 13330 Usf Laurel Drive, Tampa, FL 33612 | 2018-10-10 |
| Find all providers in zip 33612 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821196163 | Hasan Medical Center, Plc | Internal Medicine | 5420 Webb Rd Ste B2, Tampa, FL 33615-3255 | 2006-09-20 |
| 1659477305 | R Maurice Bonilla | Internal Medicine | 905 W Platt St, Tampa, FL 33606-2113 | 2006-09-16 |
| 1669490587 | Inna Sheyner | Internal Medicine | 13000 Bruce B Downs Blvd # 118c, Tampa, FL 33612-4745 | 2006-07-18 |
| 1861434326 | William P Krockta Md Pa | Internal Medicine | 10905 Cliff Dr, Tampa, FL 33617-3202 | 2006-06-11 |
| 1235193384 | Navinchandra Virchand Patel | Internal Medicine | 4304 Gainesborough Ct, Tampa, FL 33624-2602 | 2006-04-14 |
| 1194706051 | Alpha Bridge Connections, LLC | Internal Medicine | 10150 Highland Manor Dr, Suite 300, Tampa, FL 33610-9712 | 2005-11-08 |
| 1104308170 | Blessedcare Center, Inc | Internal Medicine | 4710 N Habana Ave Ste 402, Tampa, FL 33614-7152 | 2018-09-05 |
| 1548656853 | Vianna Vadzhiya Broderick | Internal Medicine | 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 | 2015-04-13 |
| 1043557853 | Tampa General Medical Group Inc | Internal Medicine | 409 Bayshore Blvd, Tampa, FL 33606-2707 | 2013-01-14 |
| 1679821474 | Koyo Medical P A | Internal Medicine | 19909 Tamiami Ave, Tampa, FL 33647-3366 | 2012-08-27 |
| Find all providers in TAMPA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.