Individual provider Active NPI

Rania Yacub, PA

  • Physician Assistant
  • Miami, FL
National Provider Identifier
1104010016
Registry record updated Feb 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9104080 Issued in FL
Practice address
12221 SW 132ND CT
Miami, FL 33186-6480
Phone
(305) 233-3603
NPI assigned
Sep 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9104080 FL Primary

Addresses

Primary practice location

12221 SW 132ND CT
Miami, FL 33186-6480

Mailing address

12221 SW 132ND CT
Miami, FL 33186-6480
Phone (305) 233-3603

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091203000303 FL Practitioner - Physician Assistant 3274672399 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rodriguez Torrecilla LLC CurrentSince Nov 5, 2013 Accepting new patients
Stat Hospitalist LLC Past Accepting new patients
Lorena Tinoco MD PLLC Past Accepting new patients
JMH Internal Medicine Specialist LLC Past Accepting new patients

Locations

9380 SW 150th St
Ste 210
Miami, FL 33176
Phone (305) 256-5018

2423 SW 147th Ave
Miami, FL 33185
Phone (305) 317-2426

1611 NW 12th Ave
Apt C150
Miami, FL 33136
Phone (305) 585-3627

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19370/brand/1/csg/1/fhir/r4

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361836800000",
    "number": "1104010016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12221 SW 132ND CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331866480",
            "telephone_number": "305-233-3603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12221 SW 132ND CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331866480",
            "telephone_number": "305-233-3603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YACUB",
        "first_name": "RANIA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-04",
        "last_updated": "2013-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9104080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.