Individual provider Active NPI

Raul Hernandez Canete, FNP-C

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1154077220
Registry record updated Mar 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F02220783 Issued in TX
Practice address
11113 NW 7TH St Apt 103
Miami, FL 33172-7627
Phone
(832) 960-1233
NPI assigned
Feb 26, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F02220783 TX Primary

Addresses

Primary practice location

11113 NW 7TH St Apt 103
Miami, FL 33172-7627

Mailing address

11113 NW 7TH St Apt 103
Miami, FL 33172-7627
Phone (832) 960-1233

Other names 1

  • Raul Hernandez Canete Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20230818001699 TX Practitioner - Nurse Practitioner 8123480332 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2501 Ave J
Suite 135
Arlington, TX 76006-6227
Phone (682) 252-4114

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F02220783TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clinicas Sin Fronteras Garland Inc CurrentSince Nov 20, 2023 Accepting new patients
C & C Vitality Health-Texas LLC Family CurrentSince Nov 1, 2024 Accepting new patients
Clinicas Sin Fronteras Fort Worth Inc CurrentSince Nov 15, 2023 Accepting new patients
Serve All Medical Bishop PLLC PastSince Mar 16, 2021 Accepting new patients
Serve All Medical Miller, PLLC PastSince Mar 16, 2021 Accepting new patients
Serve All Medical Grand Prairie, PLLC PastSince May 16, 2021 Accepting new patients

Locations

2501 Avenue J
Ste 135
Arlington, TX 76006
Phone (682) 252-4114

106 E Seminary Dr
Ft Worth, TX 76115
Phone (817) 439-9146

Organizations & group practices 6

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": "1645833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648425600000",
    "number": "1154077220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11113 NW 7TH ST APT 103",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331727627",
            "telephone_number": "832-960-1233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11113 NW 7TH ST APT 103",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331727627",
            "telephone_number": "832-960-1233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ CANETE",
        "first_name": "RAUL",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-26",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "F02220783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAUL",
            "last_name": "HERNANDEZ CANETE",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.