Basic Information
| Provider Information | |||||||||
| NPI: | 1134619448 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BATISTA | ||||||||
| FirstName: | RAFAELA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 13752 NE 3RD CT | ||||||||
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| City: | NORTH MIAMI | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331613628 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7862098040 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2955 CORAL WAY | ||||||||
| Address2: | |||||||||
| City: | CORAL GABLES | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331453205 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9543562878 | ||||||||
| FaxNumber: | 7864529683 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/11/2018 | ||||||||
| LastUpdateDate: | 05/11/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 224Z00000X | OTA16253 | FL | Y | 193400000X SINGLE SPECIALTY GROUP | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapy Assistant |
No ID Information.