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R ROSARIO-MEDINA MD LLC NPI 1194850990


NPI Information

NPI: 1194850990
Provider Name: R ROSARIO-MEDINA MD LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 10D2243417

Address:
1417 N SEMORAN BLVD
STE 106
ORLANDO, FL
ZIP 32807
Phone: (407) 382-9703
Get Directions

R ROSARIO-MEDINA MD LLC is a family medicine in Orlando, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. R ROSARIO-MEDINA MD LLC NPI is 1194850990. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1417 N SEMORAN BLVD
STE 106
ORLANDO, FL
ZIP 32807-555
Phone: (407) 382-9703
Fax: (321) 766-4566

The provider's authorized official is Ralph Rosario-medina .
The authorized official title is Doctor and has the following contact phone number (407) 382-9703.

The CLIA number assigned to this NPI record is 10D2243417 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/22/2007 and was last updated on 10/26/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineME67356FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G15239MEDICARE UPINFLORIDA
2AB085MEDICARE PINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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