Individual
DR. LUIS RAUL MACEIRA-RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2896 SUMMER SWAN DR, ORLANDO, FL 32825-7404
(407) 207-2146
Mailing address
2896 SUMMER SWAN DR, ORLANDO, FL 32825-7404
(407) 207-2146
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME60036
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12489
BCBS GROUP # 45262
FL
05
—
370499899
—
FL
05
—
370499899
—
KY
Enumeration date
06/09/2005
Last updated
02/19/2014
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