RAFAEL REGUEIFEROS JR. (NPI# 1912270554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912270554 |
| Entity Type | Individual |
| Full Name | RAFAEL REGUEIFEROS JR. |
| Credential | PA-C |
| Practice Address |
10743 Narcoossee Rd Suite A-18 Orlando FL 32832-5781 |
| Mailing Address |
10743 Narcoossee Rd Suite A-18 Orlando FL 32832 |
| Practice Telephone | 4072771900 |
| Practice Fax Number | 4072771888 |
| Mailing Telephone | 4074277190 |
| Mailing Fax Number | 4072771888 |
| Enumeration Date | 2012-02-13 |
| Last Update Date | 2016-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9106410 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | FLORIDA LICENSE | PA9106410 | 01 |
| Street Address |
10743 NARCOOSSEE RD SUITE A-18 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32832-5781 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053310185 | Annette Nicole Nielsen | Pediatrics | 10743 Narcoossee Rd, Suite A13, Orlando, FL 32832 | 2005-07-20 |
| 1679015259 | Katherine Morford | Registered Nurse | 10743 Narcoossee Rd, Orlando, FL 32832-6944 | 2016-11-14 |
| 1639540867 | Cora Health Services Inc. | Clinic/Center | 10743 Narcoossee Rd, Suite A-24, Orlando, FL 32832 | 2015-10-14 |
| 1972906998 | Nicole Marie Palumbo | Physician Assistant | 10743 Narcoossee Rd, Ste A18, Orlando, FL 32832-6944 | 2014-10-04 |
| 1548584105 | Carol Grant Md LLC | Specialist | 10743 Narcoossee Rd, Orlando, FL 32832-6944 | 2010-03-24 |
| 1275778920 | Lake Nona Eye Care, LLC | Clinic/Center | 10743 Narcoossee Rd, A-25, Orlando, FL 32832-6944 | 2008-12-10 |
| 1699926105 | Kristina Maria Javier | Pediatrics | 10743 Narcoossee Rd, Suite A13, Orlando, FL 32832-6944 | 2008-10-02 |
| 1578736005 | Cynthia Ward | Optometrist | 10743 Narcoossee Rd, A 25, Orlando, FL 32832-6944 | 2008-04-04 |
| 1790973402 | Tree House Pediatrics Pllc | Pediatrics | 10743 Narcoossee Rd, Suite A13, Orlando, FL 32832 | 2007-10-09 |
| 1861557928 | Carol R Grant | Internal Medicine | 10743 Narcoossee Rd, Ste# A8-208, Orlando, FL 32832-6944 | 2006-12-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609482728 | Maria Belen Bengolea | Behavior Technician | 10920 Moss Park Rd. Suite 130, Orlando, FL 32832 | 2020-09-23 |
| 1942819495 | Oasis Counseling Services | Community/Behavioral Health | 11954 Narcoossee Rd., Ste 2 #278, Orlando, FL 32832 | 2020-07-29 |
| 1538628219 | Lake Nona Endodontics Pa | Dentist | 13571 Narcoossee Road, Orlando, FL 32832 | 2019-03-13 |
| 1235697707 | Pediatric Dental Group, LLC | Dentist | 12601 Narcoossee Rd, Unite 100a, Orlando, FL 32832 | 2019-03-04 |
| 1518451343 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 13072 Narcoossee Rd, Orlando, FL 32832 | 2018-06-15 |
| 1356834345 | Cachae Cierra Mason | Clinic/Center | 9412 Randal Park Blvd, Unit 6127, Orlando, FL 32832 | 2018-06-13 |
| 1598258832 | Magda Liliana Sanchez | Behavior Technician | 14046 Millington St, Orlando, FL 32832 | 2018-06-12 |
| 1982106423 | Grace-ann Lewis | Behavior Technician | 10920 Moss Park Road Suite 100, Orlando, FL 32832 | 2018-03-01 |
| 1427574151 | Nona Dentists, Pa | Dentist | 12711 Narcoossee Rd, Building B, Suite 100, Lake Nona, Orlando, FL 32832 | 2017-08-15 |
| 1578084281 | Crispus Nyambariga Ombui | Nurse Anesthetist, Certified Registered | 9452 Randal Park Blvd, Unit 2-2126, Orlando, FL 32832 | 2017-07-03 |
| Find all providers in zip 32832 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770054843 | Cynthia Marie Mills | Physician Assistant | 7806 Lake Underhill Rd Ste 104, Orlando, FL 32822-8232 | 2018-12-16 |
| 1447751029 | Brittney Marie Osterhoudt | Physician Assistant | 2014 S Orange Ave Ste 101, Orlando, FL 32806-3069 | 2018-02-28 |
| 1164934006 | Stephanie Carmen Oberweger | Physician Assistant | 8124 Chianti Dr, Orlando, FL 32836-5311 | 2017-11-01 |
| 1881046407 | Chrystal Danielle Fravel | Physician Assistant | 2609 S Orange Ave, Orlando, FL 32806-4547 | 2016-07-07 |
| 1922498740 | Taylor Stetson | Physician Assistant | 7403 Sugar Bend Dr, Orlando, FL 32819-7215 | 2015-02-01 |
| 1619370103 | Emily R Avgeropoulos | Physician Assistant | 7512 Dr Phillips Blvd Ste 50-209, Orlando, FL 32819-5420 | 2014-09-29 |
| 1417357567 | Allyson Lee | Physician Assistant | 3090 Caruso Ct, Orlando, FL 32806-8510 | 2014-08-26 |
| 1386052371 | Nancy Callaham | Physician Assistant | 6953 Cadiz Blvd, Orlando, FL 32819-4713 | 2014-07-23 |
| 1922367010 | Quality Care Providers | Physician Assistant | 5565 Cinderlane Pkwy, 291, Orlando, FL 32808-4705 | 2012-05-09 |
| 1013212067 | Rheumatology Associates of Central Fl. | Physician Assistant | 3160 Southgate Commerce Blvd Bldg Suite30, Orlando, FL 32806-8549 | 2011-01-24 |
| Find all providers in ORLANDO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.