| Rafael Apontelopez, MD | |
|
400 Health Park Blvd, Attn: Radiology Department, St Augustine, FL 32086-5784 | |
| (904) 819-4398 | |
| (904) 819-4976 |
| Full Name | Rafael Apontelopez |
|---|---|
| Gender | Male |
| Speciality | Radiology - Vascular & Interventional Radiology |
| Location | 400 Health Park Blvd, St Augustine, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265400428 | NPI | - | NPPES |
| 052791200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | ME57512 (Florida) | Secondary |
| 2085R0204X | Radiology - Vascular & Interventional Radiology | ME57512 (Florida) | Primary |
| Entity Name | Mori Bean and Brooks Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093782070 PECOS PAC ID: 8820077878 Enrollment ID: O20040714001317 |
| Entity Name | Northside Radiology Associates LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013960657 PECOS PAC ID: 4486555398 Enrollment ID: O20200914002464 |
| Mailing Address | Practice Location Address |
|---|---|
| Rafael Apontelopez, MD 400 Health Park Blvd, Attn: Radiology Department, St Augustine, FL 32086-5784 Ph: (904) 819-4398 | Rafael Apontelopez, MD 400 Health Park Blvd, Attn: Radiology Department, St Augustine, FL 32086-5784 Ph: (904) 819-4398 |
Ripp A Smith, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 400 Health Park Blvd, Attn: St. Johns Radiology Associates, St Augustine, FL 32086 Phone: 904-819-4398 |
Dr. Edrick Gabriel Lugo Millan, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 400 Health Park Blvd, St Augustine, FL 32086 Phone: 904-819-5155 |
Ronald J Lewis, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 912 Oxford Dr, St Augustine, FL 32084 Phone: 859-967-9758 |
Dr. Todd Madison Loper, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 70 Turin Ter Ste 120, St Augustine, FL 32092 Phone: 904-819-3223 |
Dr. Jonathan Anthony Friedman, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 400 Health Park Blvd, St Augustine, FL 32086 Phone: 904-819-5155 |
Dr. Naveen Chandra Raj Urs, MBBS, DM (RADIOLOGY) Radiology Medicare: Not Enrolled in Medicare Practice Location: 400 Health Park Blvd, St Augustine, FL 32086 Phone: 904-819-5155 |