Organization
RIF MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAFAEL OTANO OTANO (VICE PRESIDENT)
(303) 262-5457
Entity
Organization
Contact information
Practice address
815 NW 57TH AVE, SUITE 114, MIAMI, FL 33126-2018
(305) 262-5457
(305) 262-5113
Mailing address
815 NW 57TH AVE, SUITE 114, MIAMI, FL 33126-2018
(305) 262-5457
(305) 262-5113
Taxonomy
Speciality
Code
Description
License number
State
261QC1800X
Corporate Health Clinic/Center
Primary
HCC6377
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME 93274
THEODORE T LAMOTTA
FL
Enumeration date
05/25/2006
Last updated
08/22/2020
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