Rafael S Briceno (NPI# 1174670863, PAC ID# 8628113792) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1174670863 |
| PAC ID by PECOS | 8628113792 |
| Professional Enrollment ID | I20110221000867 |
| Full Name | Rafael S Briceno |
| Address |
3363 Sheridan St Suite 207 Hollywood FL 33021-3658 |
| Gender | M |
| Graduation Year | 1999 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100281 | MEMORIAL HOSPITAL WEST |
| Address | Phone | Organization |
|---|---|---|
| 3363 Sheridan St, Suite 207, Hollywood, FL 33021-3658 |
| Street Address |
3363 SHERIDAN ST SUITE 207 |
| City | HOLLYWOOD |
| State | FL |
| Zip | 33021-3658 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dorrett Codner | Nurse Practitioner | South Broward Hospital District | 1150 N 35th St, Suite 205a, Hollywood, FL 33021 |
| Carmen Herrera | Nurse Practitioner | South Broward Hospital District | 3400 N 29th Ave, Hollywood, FL 33021-1002 |
| Sathi Ghosh | Psychiatry | South Broward Hospital District | 3400 N 29th Ave, Hollywood, FL 33021-1002 |
| Alan S Lane | Ophthalmology | 4000 Hollywood Blvd, 180n, Hollywood, FL 33021-1204 | |
| Jeffrey E Caplan | Plastic and Reconstructive Surgery | 4330 Sheridan St, Suite 102, Hollywood, FL 33021-1406 | |
| Edward S. Wagner | Obstetrics/gynecology | Vitalmd Group Holding LLC | 4330 Sheridan St, Suite 101, Hollywood, FL 33021-1408 |
| Ravikanth Chiravuri | Cardiovascular Disease (cardiology) | 5700 Stirling Rd, Suite 100, Hollywood, FL 33021-1522 | |
| Thomas D Rawson | Physician Assistant | Frank C Alario Md Pl | 5700 Stirling Rd, Suite 100, Hollywood, FL 33021-1522 |
| Michael L Newman | Optometry | 5700 Stirling Rd, Hollywood, FL 33021-1522 | |
| Blaine S Cameron | Anesthesiology | 5700 Stirling Rd, Hollywood, FL 33021-1522 | |
| Find all physicians in zip 33021 | |||
| City | HOLLYWOOD |
| Zip Code | 33021 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | HOLLYWOOD + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Rafael S Briceno.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.