| Doctor Name: | MICHAEL B RAGUINE |
| NPI Number: | 1174867162 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | NURSE PRACTITIONER |
| License Number: | 22376 |
| Business Practice Address: | 2743 Highland Ave National City, CA - 919507410 |
| Business Phone Number: | 6194742284 |
| Business Fax Number: | |
| Mailing Address: | 1233 Morgan Hill Dr, CHULA VISTA |
| State: | CA |
| Postal Code: | 919131435 |
| Phone Number: | 6195652549 |
| Fax Number: | |
| NPI Enumeration Date: | 11/15/2012 |
| NPI Last Update Date: | 02/04/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 22376 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |