Individual provider · Type 1 NPI

John Rafael Roa Cunanan, MD

Student in an Organized Health Care Education/Training Program · Fort Walton Beach, FL

NPI number 1881532141 Active

Practice location

1000 Mar Walt Dr
Fort Walton Beach, FL 32547-6708

Call (850) 494-6072 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1881532141

John Rafael Roa Cunanan, MD's National Provider Identifier is 1881532141, issued on Mar 24, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fort Walton Beach, FL. The record was last updated on Mar 24, 2026.