1356397020 NPI number — RAUL MITRANI M.D.

Table of content: RAUL MITRANI M.D. (NPI 1356397020)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1356397020 NPI number — RAUL MITRANI M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MITRANI
Provider First Name:
RAUL
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1356397020
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/19/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1120 NW 14TH ST
Provider Second Line Business Mailing Address:
SUITE 1130
Provider Business Mailing Address City Name:
MIAMI
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33136-2107
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
305-243-9120
Provider Business Mailing Address Fax Number:
305-243-9124

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1295 NW 14 ST, SOUTH BUILDING, SUITE A&B
Provider Second Line Business Practice Location Address:
UNIVERSITY OF MIAMI HOSPITAL
Provider Business Practice Location Address City Name:
MIAMI
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33125
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-243-9120
Provider Business Practice Location Address Fax Number:
305-243-9124
Provider Enumeration Date:
05/25/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207RC0000X , with the licence number:  ME 65763 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RC0001X , with the licence number: ME65763 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 378270100 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 014238300 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".