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Individual

MR. RAFAEL CARRALERO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA

Contact information

Practice address
14231 SW 121ST PL, MIAMI, FL 33186-6077
(786) 208-9981
Mailing address
14231 SW 121ST PL, MIAMI, FL 33186-6077
(786) 208-9981

Taxonomy

Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
MA48174
FL

Other

Enumeration date
03/02/2011
Last updated
03/02/2011
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