| Doctor Name: | RAFAEL S GRILLO |
| NPI Number: | 1104921634 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 66588 |
| Business Practice Address: | 7350 Nw 7th St Suite 113 Miami, FL - 331262932 |
| Business Phone Number: | 3052692020 |
| Business Fax Number: | 3052692060 |
| Mailing Address: | 7350 Nw 7th St, Suite 113 MIAMI |
| State: | FL |
| Postal Code: | 331262932 |
| Phone Number: | 3052692020 |
| Fax Number: | 3052692060 |
| NPI Enumeration Date: | 09/13/2006 |
| NPI Last Update Date: | 11/03/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 66588 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |