Provider Demographics
NPI:1679699946
Name:CARDELLA, RAFAEL E (MD)
Entity Type:Individual
Prefix:DR
First Name:RAFAEL
Middle Name:E
Last Name:CARDELLA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4483 N.W. 36H STREET
Mailing Address - Street 2:SUITE 120
Mailing Address - City:MIAMI SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33166
Mailing Address - Country:US
Mailing Address - Phone:305-888-7555
Mailing Address - Fax:954-522-6077
Practice Address - Street 1:7887 N. KENDALL DRIVE
Practice Address - Street 2:SUITE 102
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33156
Practice Address - Country:US
Practice Address - Phone:305-279-7722
Practice Address - Fax:305-279-2090
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2019-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL00389832083X0100X
FLME389832083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLBR946XMedicare UPIN
FLBR885BMedicare PIN
FLBR885AMedicare PIN
FLBR885CMedicare PIN