Organization Active NPI

Nest Medical Center PA

  • Internal Medicine Physician
  • Miramar, FL
National Provider Identifier
1295528297
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
NEST MEDICAL CENTER PA
Practice address
3161 SW 160TH Ave
Miramar, FL 33027-4214
Phone
(954) 450-3550
NPI assigned
May 23, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2025

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

Authorized official

Name
Rafael Osvaldo Hernandez Lora, MDNPI 1689914814
Title
MD/Ceo
Phone
(954) 450-3550

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: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

3161 SW 160TH Ave
Miramar, FL 33027-4214

Mailing address

3161 SW 160TH Ave
Miramar, FL 33027-4214
Phone (954) 450-3550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250702001071 FL Part B Supplier - Clinic/Group Practice 2769995745 Receives reassigned benefits from 3 practitioners
Practice locations: Miramar, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0972865Nest Medical Center PA3161 SW 160TH Ave, Miramar, FL 33027Certificate of waiverApr 18, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1747958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747958400000",
    "number": "1295528297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3161 SW 160TH AVE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330274214",
            "telephone_number": "954-450-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3161 SW 160TH AVE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330274214",
            "telephone_number": "954-450-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEST MEDICAL CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-23",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ LORA",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_middle_name": "OSVALDO",
        "authorized_official_title_or_position": "MD/CEO",
        "authorized_official_telephone_number": "954-450-3550",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.