Provider Demographics
NPI:1740666833
Name:NONES PENA, RAFAEL ARTURO (MD)
Entity type:Individual
Prefix:
First Name:RAFAEL
Middle Name:ARTURO
Last Name:NONES PENA
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 1:2230 NW 95TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33147-2414
Mailing Address - Country:US
Mailing Address - Phone:305-827-2977
Mailing Address - Fax:305-820-6374
Practice Address - Street 1:2230 NW 95TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33147-2414
Practice Address - Country:US
Practice Address - Phone:305-827-2977
Practice Address - Fax:305-820-6374
Is Sole Proprietor?:No
Enumeration Date:2015-07-31
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD464308207R00000X
FLME159524207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1035230810001Medicaid