Organization
RAEN MEDICAL SERVICES CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYDEL ENCARNACION SR. M.D. (PRESIDENT)
(305) 477-9569
Entity
Organization
Contact information
Practice address
3900 NW 79TH AVE, SUITE 739, DORAL, FL 33166-6556
(305) 477-9569
(305) 477-9571
Mailing address
3900 NW 79TH AVE, SUITE 739, DORAL, FL 33166-6556
(305) 477-9569
(305) 477-9571
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
HCC10750
FL
Other
Enumeration date
08/14/2013
Last updated
08/20/2013
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