Active NPI
Rene Parraga, M.D.
- Internal Medicine Physician
- Miami Gardens, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 102150
- Practice address
- 4692 NW 183Rd St
Miami Gardens, FL 33055-3054 - Phone
- (786) 625-7774
- NPI assigned
- May 30, 2007
- Last updated
- Aug 28, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | TRN9131 | FL | |
| Internal Medicine Physician | 207R00000X | 102150 | FL | Primary |
Addresses
Primary practice location
4692 NW 183Rd St
Miami Gardens, FL 33055-3054
Mailing address
1500 NW 12TH Ave JMT-East 1007
Miami, FL 33136-1028
Phone (305) 243-4666
Other practice location 1
1611 NW 12th Ave
Miami, FL 33136-1005
Phone (305) 585-5215
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0004540-00 | Medicaid | FL |
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 |
|---|---|---|---|
| 102150 | FL | MD | Internal Medicine Physician |
| TRN9131 | FL | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dedicated Senior Medical Center of Florida, LLC | Current | Accepting new patients | |
| Dedicated Senior Medical Center of Florida, LLC | Current | Accepting new patients | |
| Dedicated Senior Medical Center of Florida, LLC | Current | Accepting new patients | |
| University of Miami | Past | Accepting new patients |
Locations
4715 S Florida Ave
Lakeland, FL 33813
Phone (863) 209-7003
1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760
Organizations & group practices 4
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.
-
- Specialist
- Miami Gardens, FL
- NPI 1881055366
-
- Specialist
- Jacksonville, FL
- NPI 1114434206
-
- Specialist
- Tampa, FL
- NPI 1700393881
-
dba University of Miami Division of Emergency Medicine
- Emergency Medicine Physician
- Miami, FL
- NPI 1336411198
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787875200000",
"number": "1316148919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 NW 12TH AVE JMT-EAST 1007",
"city": "MIAMI",
"state": "FL",
"postal_code": "331361028",
"telephone_number": "305-243-4666",
"fax_number": "305-243-9927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4692 NW 183RD ST",
"city": "MIAMI GARDENS",
"state": "FL",
"postal_code": "330553054",
"telephone_number": "786-625-7774"
}
],
"practiceLocations": [
{
"address_1": "1611 NW 12th Ave",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331361005",
"country_code": "US",
"telephone_number": "305-585-5215",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PARRAGA",
"first_name": "RENE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-30",
"last_updated": "2026-08-28",
"certification_date": "2026-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "FL",
"license": "TRN9131",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "102150",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0004540-00",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami Gardens, FL
- Paradise Medical Solutions, Inc
- Diedre Annmarie Parker, R.PH.
- Jo-Tina C Parker, SPECIMEN COLLECTOR
- Syrenthia Lashawn Parker, LCSW
- Niurka Ligia Parrado, ARNP
- Passqual, Inc. (Passqual Health)
- Pasteur Medical Management, LLC
- Pasteur Pharmacy II, LLC (Pasteur Pharmacy II)
- Path Medical Center Inc (Path Medical)
- Path Medical, LLC (Path Medical-Dade)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; 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.