Provider Demographics
NPI:1427716323
Name:R&M MEDICAL GROUP LLC
Entity type:Organization
Organization Name:R&M MEDICAL GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:BONACHEA
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:786-597-1255
Mailing Address - Street 1:9201 SW 35TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-4113
Mailing Address - Country:US
Mailing Address - Phone:786-597-1255
Mailing Address - Fax:
Practice Address - Street 1:9201 SW 35TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-4113
Practice Address - Country:US
Practice Address - Phone:786-597-1255
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-08
Last Update Date:2021-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty