Individual provider Active NPI

Rafael F Rivas-Chacon, M.D.

  • Rheumatology Physician
  • Miami, FL
National Provider Identifier
1306875075
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
ME0048624 Issued in FL
Practice address
3200 SW 60TH CT Ste 105
Miami, FL 33155-4069
Phone
(305) 663-8505
Fax
(305) 663-6878
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X ME0048624 FL Primary

Addresses

Primary practice location

3200 SW 60TH CT Ste 105
Miami, FL 33155-4069

Mailing address

PO Box 431169
South Miami, FL 33243-1169
Phone (305) 663-8585

Other identifiers 1

IdentifierTypeStateIssuer
061811000MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rafael.rivaschacon.p1@direct.rivas-chacon.nextgenshare.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
I20060825000092 FL Practitioner - Rheumatology 5698778074 Practice locations: Miami, FL; South Miami, FL

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Arthritis & Rheumatology Associates, LLC Rheumatology Past Accepting new patients
American Arthritis & Rheumatology Associates LLC Rheumatology Past Accepting new patients

Organizations & group practices 2

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1306875075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 431169",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "332431169",
            "telephone_number": "305-663-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 SW 60TH CT STE 105",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331554069",
            "telephone_number": "305-663-8505",
            "fax_number": "305-663-6878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVAS-CHACON",
        "first_name": "RAFAEL",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "FL",
            "license": "ME0048624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "061811000",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rafael.rivaschacon.p1@direct.rivas-chacon.nextgenshare.com",
            "affiliation": "N",
            "address_1": "3200 SW 60th Ct Ste 105",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331554069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.