Active NPI
Rafael Junco, M.D.
- Family Medicine Physician
- Hialeah, FL
National Provider Identifier
1194016378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME120311
- Practice address
- 2750 W 68TH St Ste 127-128
Hialeah, FL 33016-5446 - Phone
- (305) 633-3776
- Fax
- (305) 633-4240
- NPI assigned
- Apr 22, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME120311 | FL | Primary |
Addresses
Primary practice location
2750 W 68TH St Ste 127-128
Hialeah, FL 33016-5446
Mailing address
2750 W 68TH St Ste 127-128
Hialeah, FL 33016-5446
Phone (305) 558-0765
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME120311 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinica Las Mercedes, LLC | Current | Accepting new patients | |
| Clinica Las Mercedes, LLC | Current | Accepting new patients | |
| Clinica Las Mercedes, LLC | Current | Accepting new patients |
Locations
2750 W 68th St
Ste 127128
Hialeah, FL 33016
Phone (305) 558-0765
1479 NW 27th Ave
Miami, FL 33125
Phone (305) 633-3776
6355 NW 36th St
Ste 1100
Virginia Gardens, FL 33166
Organizations & group practices 3
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.
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- NPI 1518673565
-
- Multi-Specialty Clinic/Center
- Homestead, FL
- NPI 1619515871
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509580800000",
"number": "1194016378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2750 W 68TH ST STE 127-128",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330165446",
"telephone_number": "305-558-0765",
"fax_number": "305-558-0768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2750 W 68TH ST STE 127-128",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330165446",
"telephone_number": "305-633-3776",
"fax_number": "305-633-4240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUNCO",
"first_name": "RAFAEL",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-04-22",
"last_updated": "2017-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME120311",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.