Individual provider Active NPI

Rafine Moreno-Jackson, M.D.

  • Obstetrics & Gynecology Physician
  • Miami, FL
National Provider Identifier
1164833802
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME141744 Issued in FL
Practice address
8720 N Kendall Dr Ste 118
Miami, FL 33176-2208
Phone
(305) 686-9977
Fax
(786) 497-3226
NPI assigned
May 15, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME141744 FL Primary
Obstetrics & Gynecology Physician 207V00000X 329404 LA

Addresses

Primary practice location

8720 N Kendall Dr Ste 118
Miami, FL 33176-2208

Mailing address

16082 SW 63Rd Ter
Miami, FL 33193-5576
Phone (787) 568-9065

Other practice location 1

760 Bayou Pines East Dr
Lake Charles, LA 70601-7184
Phone (337) 562-0510

Other practice location 2

1890 W Gauthier Rd Ste 150
Lake Charles, LA 70605-7119
Phone (337) 480-5559

Other practice location 3

1890 W Gauthier Rd Ste 135
Lake Charles, LA 70605-7179
Phone (337) 480-5510

Other identifiers 3

IdentifierTypeStateIssuer
2578014MedicaidLA
125123000MedicaidFL
329404OtherLASTATE LICENSE

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190829002548 FL Practitioner - Obstetrics/Gynecology 3870838287 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Puerto Rico School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
OB Hospitalist Group LLCGroup PAC ID 5193866838, 127 clinicians

Practice addresses (Care Compare)

8720 N Kendall Dr
Suite 118
Miami, FL 33176-2208
Phone (305) 686-9977

8900 N Kendall Dr
Miami, FL 33176-2118
Phone (800) 967-2289

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME141744FLMDObstetrics & Gynecology Physician
329404LAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
LCMS Obstetrics and Gynecology LLC Obstetrics & Gynecology CurrentSince Jan 1, 2022 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Oct 2, 2024 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology Current Accepting new patients
Miami Medical Institute LLC Obstetrics & Gynecology CurrentSince Aug 20, 2024 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Oct 2, 2024 Accepting new patients
Southwest Louisiana Hospital Association Inc Past Accepting new patients

Locations

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

8720 N Kendall Dr
Ste 118
Miami, FL 33176
Phone (305) 661-8978

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300

760 Bayou Pines East Dr
Lake Charles, LA 70601
Phone (337) 562-0510

1890 W Gauthier Rd
Ste 150
Lake Charles, LA 70605
Phone (337) 480-5559

1890 W Gauthier Rd
Ste 135
Lake Charles, LA 70605
Phone (337) 480-5510

Organizations & group practices 7

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": "1400112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1164833802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16082 SW 63RD TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331935576",
            "telephone_number": "787-568-9065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8720 N KENDALL DR STE 118",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762208",
            "telephone_number": "305-686-9977",
            "fax_number": "786-497-3226"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "760 Bayou Pines East Dr",
            "address_purpose": "LOCATION",
            "city": "Lake Charles",
            "state": "LA",
            "postal_code": "706017184",
            "country_code": "US",
            "telephone_number": "337-562-0510",
            "fax_number": "337-562-0810",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1890 W Gauthier Rd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Lake Charles",
            "state": "LA",
            "postal_code": "706057119",
            "country_code": "US",
            "telephone_number": "337-480-5559",
            "fax_number": "337-480-5560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1890 W Gauthier Rd Ste 135",
            "address_purpose": "LOCATION",
            "city": "Lake Charles",
            "state": "LA",
            "postal_code": "706057179",
            "country_code": "US",
            "telephone_number": "337-480-5510",
            "fax_number": "337-480-5511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORENO-JACKSON",
        "first_name": "RAFINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-15",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME141744",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "LA",
            "license": "329404",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2578014",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125123000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "329404",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.