NPIMap

Individual provider Active NPI

Rafael Diaz Acosta, MD

  • Surgery Physician
  • Hialeah, FL
National Provider Identifier
1164793873
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME129046 Issued in FL
Practice address
3499 W 4TH Ave Ste 201
Hialeah, FL 33012-4333
Phone
(305) 558-0411
NPI assigned
Jan 26, 2012
Last updated
Sep 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X BP20039782 TX
Surgery Physician 208600000X ME129046 FL Primary

Addresses

Primary practice location

3499 W 4TH Ave Ste 201
Hialeah, FL 33012-4333

Mailing address

10081 Pines Blvd Ste B
Pembroke Pines, FL 33024-6171
Phone (954) 251-1175

Other practice location 1

10081 Pines Blvd Ste B
Pembroke Pines, FL 33024-6171
Phone (954) 251-1175

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170227002448 FL Practitioner - General Surgery 2567744865 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3499 W 4TH Ave
Hialeah, FL 33012-4333
Phone (305) 856-1002

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME129046FLMDSurgery Physician
BP20039782TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rafael Diaz Acosta, MD PA Surgery CurrentSince Aug 18, 2016 Accepting new patients
Hector I Pallavicini MD PA Past Accepting new patients

Locations

3499 W 4th Ave
Ste 201
Hialeah, FL 33012
Phone (305) 558-0411

3499 W 4th Ave
Hialeah, FL 33012
Phone (305) 856-1002

10081 Pines Blvd
Ste B
Pembroke Pines, FL 33024
Phone (954) 251-1175

6140 SW 70th St
#2
South Miami, FL 33143
Phone (305) 284-7577

Organizations & group practices 2

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

Hospital & facility affiliations 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1327536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1164793873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10081 PINES BLVD STE B",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246171",
            "telephone_number": "954-251-1175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3499 W 4TH AVE STE 201",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124333",
            "telephone_number": "305-558-0411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10081 Pines Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330246171",
            "country_code": "US",
            "telephone_number": "954-251-1175",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ ACOSTA",
        "first_name": "RAFAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-26",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "BP20039782",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME129046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.