Individual
RAQUEL AURORA OLAVARRIETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11400 N KENDALL DR, SUITE A-211, MIAMI, FL 33176-1029
(305) 274-2255
(305) 274-2211
Mailing address
11459 NW 75TH LN, MEDLEY, FL 33178-2328
(305) 322-6630
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME127207
FL
2080A0000X
Pediatric Adolescent Medicine Physician
ME127207
FL
Other
Enumeration date
04/01/2013
Last updated
04/21/2016
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