Individual provider Active NPI

Rafael Sanchez, PA

  • Physician Assistant
  • Homestead, FL
National Provider Identifier
1154480218
Registry record updated Feb 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9101549 Issued in FL
Practice address
941 N Krome Ave
Homestead, FL 33030-4408
Phone
(305) 248-6311
Fax
(305) 242-5559
NPI assigned
Dec 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2009

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 PA9101549 FL Primary

Addresses

Primary practice location

941 N Krome Ave
Homestead, FL 33030-4408

Mailing address

941 N Krome Ave
Homestead, FL 33030-4408
Phone (305) 248-6311

Other identifiers 1

IdentifierTypeStateIssuer
PA9101549OtherFLLICENSE

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
I20070423000366 FL Practitioner - Physician Assistant 6002911815 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holy Cross Urgent CareGroup PAC ID 7618389248, 11 clinicians

Practice addresses (Care Compare)

1115 S Federal Hwy
Fort Lauderdale, FL 33316-1256
Phone (225) 239-7190

3481 N University Dr
Coral Springs, FL 33065-1628
Phone (225) 239-7190

Hospital & facility affiliations

  • Holy Cross Hospital Hospital, Ft Lauderdale, FL, CCN 100073

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9101549FLMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: rsanchez2023473@direct.trinity-health.org

Organizations & group practices 1

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233878400000",
    "number": "1154480218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "941 N KROME AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304408",
            "telephone_number": "305-248-6311",
            "fax_number": "305-242-5559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941 N KROME AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304408",
            "telephone_number": "305-248-6311",
            "fax_number": "305-242-5559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "RAFAEL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2009-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9101549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PA9101549",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

Verify at the official NPI Registry.