Individual provider · NPI-1

Rafael Jose Bernal, RPA

Radiologic Technologist · Miami, FL

NPI number1174164909
StatusActive
Last updated in NPPESJan 27, 2020

Details

NPI
1174164909
Entity type
Individual (NPI-1)
Name
Rafael Jose Bernal
Credential
RPA
Sex
Male
Sole proprietor
No
Enumeration date
Oct 2, 2019
Certification date
Jan 27, 2020
Last updated
Jan 27, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
247100000X Radiologic TechnologistCRT71452FLYes
243U00000X Radiology Practitioner Assistant11FL1443FL

Practice location

8900 N Kendall Dr
Miami, FL 33176-2118

Phone 786-596-5959

Mailing address

1301 Concord Ter
Sunrise, FL 33323-2843

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