RAFAEL RICARDO BENEZRA ROMAN

APOLLO MEDICAL GROUP PA

Dr RAFAEL RICARDO BENEZRA ROMAN is a male medical professional, specializing in Internal Medicine. He graduated in 2011.

Contact

APOLLO MEDICAL GROUP PA

3535 LITTLE RD
TRINITY
FL
346551811

Tel: 7273750848

RAFAEL RICARDO BENEZRA ROMAN Information

Npi 1851741813
Pac Id 6204161185
Professional Enrollment Id I20190715002376
Last Name BENEZRA ROMAN
First Name RAFAEL
Middle Name RICARDO
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2011
Primary Specialty INTERNAL MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name APOLLO MEDICAL GROUP PA
Group Practice Pac Id 6103900931
Number Of Group Practice Members 2
Line 1 Street Address 3535 LITTLE RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City TRINITY
State FL
Zip Code 346551811
Phone Number 7273750848
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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