Rafael Dejesus Mota in Coral Gables - Physician Assistant

Rafael Dejesus Mota - NPI 1720192156

Rafael Dejesus Mota is a Physician Assistant in Coral Gables, Florida. Rafael Dejesus Mota practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Rafael Dejesus Mota is 1720192156. The last update date is 2007-07-08.

Rafael Dejesus Mota's current location address is 3940 W Flagler St, Coral Gables, Florida. You can contact this provider via phone number 7865669900 and fax number 3052660135. The mailing address for Rafael Dejesus Mota is 3940 W Flagler St, Coral Gables, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Rafael Dejesus Mota
Address 3940 W Flagler St, Coral Gables, Florida
Phone Number 7865669900
Fax Number 3052660135
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1720192156
Provider Enumeration Date 2006-08-19
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3940 W Flagler St
City Coral Gables
State Florida (FL)
Post Code 331341613
Phone Number 7865669900
Fax Number 3052660135

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA9100826
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about Rafael Dejesus Mota

What is the unique 10-digit identification code assigned to Rafael Dejesus Mota by the Centers for Medicare & Medicaid Services?

The Rafael Dejesus Mota has been issued the NPI (National Provider Identifier) 1720192156, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Rafael Dejesus Mota's facilities are situated?

The facilities of Rafael Dejesus Mota are physically located at the following address: 3940 W Flagler St, Coral Gables, FL, 331341613.

What is the Rafael Dejesus Mota's area of specialization and corresponding taxonomy classification?

The Rafael Dejesus Mota's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.

On what date did the Rafael Dejesus Mota receive the assignment of its 1720192156 from the Centers for Medicare & Medicaid Services?

The Rafael Dejesus Mota was issued its 1720192156 by the Centers for Medicare & Medicaid Services on 2006-08-19.

As of what date was the information pertaining to Rafael Dejesus Mota, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Rafael Dejesus Mota, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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