Organization Active NPI

Rafael L. Nogues MD PA

  • Internal Medicine Physician
  • Miami, FL
National Provider Identifier
1205938396
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME69090 Issued in FL
Legal business name
RAFAEL L. NOGUES MD PA
Practice address
5021 SW 87TH Ave
Miami, FL 33165-6730
Phone
(305) 665-2812
NPI assigned
Sep 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Rafael L Nogues, MDNPI 1740265164
Title
President
Phone
(305) 665-2812

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME69090 FL Primary

Addresses

Primary practice location

5021 SW 87TH Ave
Miami, FL 33165-6730

Mailing address

5021 SW 87TH Ave
Miami, FL 33165-6730
Phone (305) 665-2812

Other identifiers 1

IdentifierTypeStateIssuer
262311100MedicaidFL

National Provider Directory

National Provider Directory

Locations

9200 SW 72nd St
#100
Miami, FL 33173
Phone (305) 412-8315

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1205938396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5021 SW 87TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331656730",
            "telephone_number": "305-665-2812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5021 SW 87TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331656730",
            "telephone_number": "305-665-2812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAFAEL L. NOGUES MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "NOGUES",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-665-2812",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME69090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "262311100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.