Provider Demographics
NPI:1689467755
Name:PILOTO CAREAGA, RAFAEL (FNP)
Entity type:Individual
Prefix:
First Name:RAFAEL
Middle Name:
Last Name:PILOTO CAREAGA
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2602 KILLARNEY WAY
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32309-3223
Mailing Address - Country:US
Mailing Address - Phone:305-215-9578
Mailing Address - Fax:305-215-9578
Practice Address - Street 1:2602 KILLARNEY WAY
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32309-3223
Practice Address - Country:US
Practice Address - Phone:305-215-9578
Practice Address - Fax:305-215-9578
Is Sole Proprietor?:No
Enumeration Date:2025-05-22
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11039209363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily