Provider Demographics
NPI:1346426178
Name:TEMPLONUEVO, RAUL M I (MD)
Entity Type:Individual
Prefix:
First Name:RAUL
Middle Name:M
Last Name:TEMPLONUEVO
Suffix:I
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5749 NORMAN H CUTSON DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32821-5532
Mailing Address - Country:US
Mailing Address - Phone:407-239-6260
Mailing Address - Fax:
Practice Address - Street 1:5749 NORMAN H CUTSON DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32821-5532
Practice Address - Country:US
Practice Address - Phone:407-239-6260
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-10
Last Update Date:2008-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD2494207RA0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RA0000XAllopathic & Osteopathic PhysiciansInternal MedicineAdolescent Medicine