Individual provider Active NPI

Raphael Bones

  • Internal Medicine Physician
  • Orlando, FL
National Provider Identifier
1326069857
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
14143 Issued in PR
Practice address
8624 Lee Vista Blvd Ste 132
Orlando, FL 32829-8310
Phone
(407) 720-3209
Fax
(407) 251-9386
NPI assigned
Jul 21, 2006
Last updated
Oct 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME116549 FL
Internal Medicine Physician 207R00000X 14143 PR Primary

Addresses

Primary practice location

8624 Lee Vista Blvd Ste 132
Orlando, FL 32829-8310

Mailing address

7800 W Oakland Park Blvd
Suite E-214
Sunrise, FL 33351-6741
Phone (954) 318-6590

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
I20140203000028 FL Practitioner - Internal Medicine 9436149960 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University Central del Caribe Escuela de Medicina, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8624 Lee Vista Blvd
Orlando, FL 32829-8383
Phone 40772032091

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME116549FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prixus Medical Group LLC Internal Medicine CurrentSince Dec 16, 2015 Accepting new patients

Locations

8624 Lee Vista Blvd
Orlando, FL 32829
Phone (407) 384-8099

8624 Lee Vista Blvd
Ste 132
Orlando, FL 32829
Phone (407) 720-3209

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.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1326069857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 W OAKLAND PARK BLVD",
            "address_2": "SUITE E-214",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333516741",
            "telephone_number": "954-318-6590",
            "fax_number": "954-318-6604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8624 LEE VISTA BLVD STE 132",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328298310",
            "telephone_number": "407-720-3209",
            "fax_number": "407-251-9386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONES",
        "first_name": "RAPHAEL",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME116549",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "14143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.