| Organization Name: | RAUL SIERRA MD PA |
| NPI Number: | 1255642989 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARTHA SIERRA (MANAGER) |
| Mailing Address: | 4129 N Armenia Ave Suite B Tampa |
| State: | FL US |
| Postal Code: | 336076436 |
| Phone Number: | 8138777526 |
| Fax Number: | 8138738469 |
| NPI Enumeration Date: | 06/28/2010 |
| NPI Last Update Date: | 06/28/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | ME24563 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |