| Doctor Name: | DR. JUSTIN MATTHEW RAFAEL |
| NPI Number: | 1003115155 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 256879 |
| Business Practice Address: | 8900 N Kendall Dr Miami, FL - 331762118 |
| Business Phone Number: | 7865961960 |
| Business Fax Number: | 3052730254 |
| Mailing Address: | 555 E 78th St, Lf NEW YORK |
| State: | NY |
| Postal Code: | 100751188 |
| Phone Number: | 2158889287 |
| Fax Number: | 8007190992 |
| NPI Enumeration Date: | 03/15/2011 |
| NPI Last Update Date: | 05/06/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | 256879 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Radiology |
| Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |