| Ralph Joseph Raffa, MD | |
|
1825 Se Tiffany Ave, Suite 104, Port St Lucie, FL 34952-7554 | |
| (772) 398-2233 | |
| (772) 398-2244 |
| Full Name | Ralph Joseph Raffa |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 1825 Se Tiffany Ave, Port St Lucie, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952345720 | NPI | - | NPPES |
| 79783 | Other | FL | BCBS PROVIDER NUMBER |
| 069326000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | ME37459 (Florida) | Primary |
| Entity Name | Radiology Imaging Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083663686 PECOS PAC ID: 4587683214 Enrollment ID: O20051111000067 |
| Mailing Address | Practice Location Address |
|---|---|
| Ralph Joseph Raffa, MD 1825 Se Tiffany Ave, Suite 104, Port St Lucie, FL 34952-7554 Ph: (772) 398-2233 | Ralph Joseph Raffa, MD 1825 Se Tiffany Ave, Suite 104, Port St Lucie, FL 34952-7554 Ph: (772) 398-2233 |
Dr. Vijaya Vardhan Chundi, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1825 Se Tiffany Ave Ste 104, Port St Lucie, FL 34952 Phone: 772-398-2233 Fax: 772-398-2244 | |
Whitney Page, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1825 Se Tiffany Ave Ste 104, Port St Lucie, FL 34952 Phone: 772-398-2233 | |
Dr. Mel Timtiman Lizaso, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1095 Nw Saint Lucie West Blvd, Port St Lucie, FL 34986 Phone: 772-288-5890 | |
Dr. James Michael Melotek, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 8980 S Us Highway 1 Ste 105, Port St Lucie, FL 34952 Phone: 772-281-3060 Fax: 772-281-3055 | |
Rochelle A Wolfe, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1800 Se Tiffany Ave, Port St Lucie, FL 34952 Phone: 772-335-4000 | |
Alexander N Vennos, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1800 Se Tiffany Ave, Attention Rhonda Robertson Radiology Dept, Port St Lucie, FL 34952 Phone: 561-736-1200 Fax: 561-742-1919 | |
Alex Sarmen Mirakian, Radiology Medicare: Accepting Medicare Assignments Practice Location: 8980 S Us Highway 1 Ste 105, Port St Lucie, FL 34952 Phone: 772-281-3060 Fax: 772-281-3055 |