Individual provider Active NPI

Raul Plasencia, NBC-HIS

  • Hearing Instrument Specialist
  • Miami Gardens, FL
National Provider Identifier
1104965334
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
AS2812 Issued in FL
Practice address
7842 NW 197TH St
Miami Gardens, FL 33015-6399
Phone
(305) 491-6812
Fax
(305) 816-8869
NPI assigned
Feb 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X AS2812 FL Primary

Addresses

Primary practice location

7842 NW 197TH St
Miami Gardens, FL 33015-6399

Mailing address

7842 NW 197TH St
Miami Gardens, FL 33015-6399
Phone (305) 491-6812

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AS2812FLMDHearing Instrument Specialist

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1104965334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7842 NW 197TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330156399",
            "telephone_number": "305-491-6812",
            "fax_number": "305-816-8869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7842 NW 197TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330156399",
            "telephone_number": "305-491-6812",
            "fax_number": "305-816-8869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLASENCIA",
        "first_name": "RAUL",
        "name_prefix": "Mr.",
        "credential": "NBC-HIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "FL",
            "license": "AS2812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.