Provider Demographics
NPI:1760511323
Name:SEMINARIO, RAFAEL F (MD)
Entity Type:Individual
Prefix:DR
First Name:RAFAEL
Middle Name:F
Last Name:SEMINARIO
Suffix:
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 1:2051 45TH STREET
Mailing Address - Street 2:SUITE 210
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407
Mailing Address - Country:US
Mailing Address - Phone:561-848-2011
Mailing Address - Fax:561-848-1431
Practice Address - Street 1:2051 45TH ST
Practice Address - Street 2:SUITE 210
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407
Practice Address - Country:US
Practice Address - Phone:561-848-2011
Practice Address - Fax:561-848-1431
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-02
Last Update Date:2010-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME00578012084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
A63639Medicare UPIN
10810YMedicare ID - Type Unspecified