Provider Demographics
NPI:1588790349
Name:FLEITES, RAFAEL (MD)
Entity type:Individual
Prefix:
First Name:RAFAEL
Middle Name:
Last Name:FLEITES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8622 WINTON RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45231-4817
Mailing Address - Country:US
Mailing Address - Phone:513-522-4600
Mailing Address - Fax:513-522-4658
Practice Address - Street 1:8622 WINTON RD
Practice Address - Street 2:SUITE B
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45231-4817
Practice Address - Country:US
Practice Address - Phone:513-522-4600
Practice Address - Fax:513-522-4658
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2020-04-17
Deactivation Date:2020-03-31
Deactivation Code:
Reactivation Date:2020-04-17
Provider Licenses
StateLicense IDTaxonomies
OH35075345F208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist