Individual
RAFAEL APONTELOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 HEALTH PARK BLVD, ATTN: RADIOLOGY DEPARTMENT, ST AUGUSTINE, FL 32086-5784
(904) 819-4398
(904) 819-4976
Mailing address
400 HEALTH PARK BLVD, ATTN: RADIOLOGY DEPARTMENT, ST AUGUSTINE, FL 32086-5784
(904) 819-4398
(904) 819-4976
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
ME57512
FL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
ME57512
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
052791200
—
FL
Enumeration date
03/14/2006
Last updated
05/16/2012
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