Individual
DR. RAFAEL A PALMEROLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
975 W 49TH ST, HIALEAH, FL 33012-3412
(305) 274-9588
(305) 595-2202
Mailing address
6101 BLUE LAGOON DR STE 200, MIAMI, FL 33126-3168
(305) 274-9588
(305) 595-2202
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME67254
FL
207QA0505X
Adult Medicine Physician
Primary
ME67254
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26436V
MEDICARE PTAN
FL
05
—
377249700
—
FL
Enumeration date
12/08/2005
Last updated
02/25/2026
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