DR. RAUL RAVELO (NPI# 1780672923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780672923 |
| Entity Type | Individual |
| Full Name | DR. RAUL RAVELO |
| Credential | M.D. |
| Practice Address |
78 Sw 13th Ave Suite 201 Miami FL 33135-2479 |
| Mailing Address |
2234 Colonial Blvd Attn: Payer Contracting & Relations Dept. Fort Myers FL 33907-1412 |
| Practice Telephone | 3056430404 |
| Practice Fax Number | 3056430403 |
| Mailing Telephone | 2399317342 |
| Mailing Fax Number | 2399317385 |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2016-10-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
ME0045683 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | AVMED | 209644 | 01 |
| FL | RR MEDICARE | P01598280 | 01 |
| FL | BCBS | 11643 | 01 |
| FL | FREEDOM | P995035 | 01 |
| FL | OPTIMUM | P936576 | 01 |
| FL | WELLCARE | 1073732 | 01 |
| FL | DIMENSION | 4153 | 01 |
| FL | CIGNA | 6363558 | 01 |
| Street Address |
78 SW 13TH AVE SUITE 201 |
| City | MIAMI |
| State | FL |
| Zip Code | 33135-2479 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467820837 | Genesiscare Usa of Florida LLC | Internal Medicine | 78 Sw 13th Ave, Suite 200, Miami, FL 33135-2479 | 2015-09-02 |
| 1700280708 | Sfm Radiation IIi LLC | Radiology | 78 Sw 13th Ave, Suite 100, Miami, FL 33135-2479 | 2014-10-20 |
| 1083847727 | Romulo Clavelo M D P A | General Practice | 78 Sw 13th Ave, Suite 201, Miami, FL 33135-2479 | 2009-08-28 |
| 1285875625 | Federico Dumenigo, Md, Pa | Internal Medicine | 78 Sw 13th Ave, Suite 201, Miami, FL 33135-2479 | 2009-03-16 |
| 1962581017 | Carlos Arturo Noguera | Internal Medicine | 78 Sw 13th Ave, Suite 200, Miami, FL 33135-2479 | 2006-11-02 |
| 1396797692 | Gotardo Alencar Rodrigues | Internal Medicine | 78 Sw 13th Ave, Suite 200, Miami, FL 33135-2479 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629601430 | Milagros Diaz Rodriguez | Behavior Technician | 1250 Sw 27 Ave, Suite 207, Miami, FL 33135 | 2020-02-20 |
| 1932739364 | Elizabeth Perez Vazquez | Behavior Technician | 1250 Sw 27 Ave Suite 207, Miami, FL 33135 | 2020-01-24 |
| 1134691660 | A&n Pharmacy Inc | Pharmacy | 1701 W. Flagler St, Suite 322, Miami, FL 33135 | 2018-12-21 |
| 1669952610 | Ileana Norma Rodriguez | Behavior Technician | 890 Sw 36th Ct, Miami, FL 33135 | 2018-08-20 |
| 1053801761 | Humberto Marchante | Massage Therapist | 327 Sw 30th Ave, Miami, FL 33135 | 2018-05-17 |
| 1336654904 | Daniela Vega | Behavior Technician | 1401 Sw 1 Street, Suite 100, Miami, FL 33135 | 2017-12-05 |
| 1609387133 | Latin Quarter Dental Pa | Clinic/Center | 1660 Sw 1 St, Miami, FL 33135 | 2017-10-24 |
| 1588173074 | Mildred E Meneses | Behavior Technician | 1971 Sw 4th St Apart 406, Miami, FL 33135 | 2017-09-27 |
| 1902320666 | Betzabeth Paredes | Behavior Technician | 429 Sw 29 Ave, Miami, FL 33135 | 2017-08-02 |
| 1386174977 | Milkos Ramon Hernandez Alvarez. | Nurse Practitioner | 2999 West Flagler St, Apt 10, Miami, FL 33135 | 2017-06-15 |
| Find all providers in zip 33135 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417516600 | Arthur J. Iglesias, M.d. P.a. | Radiology | 1100 N.w. 95th Street, Cancer Center, Miami, FL 33150 | 2019-06-11 |
| 1447614441 | Benjamin Spieler | Radiology | 1475 Nw 12th Ave # Sccc1500, Miami, FL 33136-1002 | 2016-04-06 |
| 1962812917 | Florida Oncology Partners LLC | Radiology | 1100 N.w. 95 Street, Cancer Center, Miami, FL 33150-2038 | 2014-04-29 |
| 1548508682 | South Florida Physician Specialists LLC | Radiology | 7867 Sw 88th St, Miami, FL 33156-7742 | 2013-01-24 |
| 1386931764 | Michael Hall | Radiology | 3661 S. Miami Ave Suite 301a, Miami, FL 33133-4509 | 2011-07-06 |
| 1699087932 | Raphael Yechieli | Radiology | 1475 Nw 12th Ave Ste 1500, Miami, FL 33136 | 2010-07-01 |
| 1598781940 | Cristiane Takita | Radiology | 1475 Nw 12th Ave # D-31, Suite 1500, Miami, FL 33136-1002 | 2006-07-15 |
| 1356382188 | Marangeli Friger | Radiology | 14233 Sw 42nd St, Miami, FL 33175-6408 | 2006-06-10 |
| 1114997491 | Omar Mauricio Salazar | Radiology | 6825 Sw 87th Ave, Miami, FL 33173-2502 | 2006-01-26 |
| 1225034457 | Ana C Botero | Radiology | 8900 N. Kendall Drive, Miami Cancer Institute, Miami, FL 33176-2118 | 2005-06-22 |
| Find all providers in MIAMI | ||||
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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.