Provider Demographics
NPI:1730347972
Name:RAUL T APARICIO II PA
Entity type:Organization
Organization Name:RAUL T APARICIO II PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:APARICIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-792-0220
Mailing Address - Street 1:499 NW 70TH AVE
Mailing Address - Street 2:SUITE 210
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33317-7500
Mailing Address - Country:US
Mailing Address - Phone:954-792-0220
Mailing Address - Fax:954-792-2202
Practice Address - Street 1:499 NW 70TH AVE
Practice Address - Street 2:SUITE 210
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317-7500
Practice Address - Country:US
Practice Address - Phone:954-792-0220
Practice Address - Fax:954-792-2202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-23
Last Update Date:2008-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAL054Medicare PIN