Raphael Dedios, OTR/L
Occupational Therapist in Miami, FL. Individual provider (NPI-1).
NPI number1124573191
StatusActive
Last updated in NPPESAug 19, 2016
Details
- NPI
- 1124573191
- Entity type
- Individual (NPI-1)
- Name
- Raphael Dedios
- Credential
- OTR/L
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 19, 2016
- Last updated
- Aug 19, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | OT 17862 | FL | Yes |
Practice location
8846 W Flagler StUnit. 1
Miami, FL 33174-3949
Phone 786-210-6745
Mailing address
8846 W Flagler StUnit. 1
Miami, FL 33174-3949
Phone 786-210-6745
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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