# RIF MEDICAL GROUP, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215982244
- **Authorized official:** MR. RAFAEL OTANO OTANO (VICE PRESIDENT)
- **Authorized official phone:** (303) 262-5457

## Contact information

- **Practice address:** 815 NW 57TH AVE, SUITE 114, MIAMI, FL 33126-2018
- **Practice address phone:** (305) 262-5457
- **Practice address fax:** (305) 262-5113
- **Mailing address:** 815 NW 57TH AVE, SUITE 114, MIAMI, FL 33126-2018
- **Mailing address phone:** (305) 262-5457
- **Mailing address fax:** (305) 262-5113

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1800X | Corporate Health Clinic/Center | HCC6377 | FL | Yes |

## Other

- **Enumeration date:** 05/25/2006
- **Last updated:** 08/22/2020
