Individual provider Active NPI

Rafael Perez Gonzalez, MD

  • General Practice Physician
  • Miami, FL
National Provider Identifier
1215283908
Registry record updated Feb 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN848 Issued in FL
Practice address
10821 NW 27TH Ave
Miami, FL 33167-3407
Phone
(305) 381-0193
Fax
(305) 437-7625
NPI assigned
Jul 31, 2012
Last updated
Feb 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ME159219 FL
General Practice Physician 208D00000X ACN848 FL Primary

Addresses

Primary practice location

10821 NW 27TH Ave
Miami, FL 33167-3407

Mailing address

10821 NW 27TH Ave
Miami, FL 33167-3407
Phone (305) 381-0193

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL nimelmedicalcenter@gmail.com

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
I20190620002898 FL Practitioner - Family PracticePractitioner - General Practice 2365713922 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: General Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10821 NW 27 Ave
Miami, FL 33167-3407
Phone (305) 381-0193

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ACN848FLMDGeneral Practice Physician
ME159219FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nimel Medical Center, LLC General Practice CurrentSince Dec 23, 2018 Accepting new patients

Locations

10821 NW 27th Ave
Miami, FL 33167
Phone (305) 381-0193

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1343692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740182400000",
    "number": "1215283908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10821 NW 27TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331673407",
            "telephone_number": "305-381-0193",
            "fax_number": "305-437-7625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10821 NW 27TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331673407",
            "telephone_number": "305-381-0193",
            "fax_number": "305-437-7625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ GONZALEZ",
        "first_name": "RAFAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-31",
        "last_updated": "2025-02-22",
        "certification_date": "2025-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME159219",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "nimelmedicalcenter@gmail.com",
            "affiliation": "N",
            "address_1": "10821 NW 27th Ave",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331673407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.