Organization
RAQUEL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAQUEL MARTINEZ ARNP (PRESIDENT)
(305) 720-4532
Entity
Organization
Contact information
Practice address
19513 SW 118TH PL, MIAMI, FL 33177-4305
(305) 720-4532
Mailing address
19513 SW 118TH PL, MIAMI, FL 33177-4305
(305) 720-4532
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
ARNP9359160
FL
Other
Enumeration date
05/12/2017
Last updated
05/12/2017
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