Jessie Raya

Primary specialty

Surgery of the Hand (Surgery) PhysicianTaxonomy code 2086S0105X

License

9116469 Issued in FL

Practice address

2734 SW 37TH Ave
Coconut Grove, FL 33133-2728

Phone

(305) 642-4263

NPI assigned

Jan 5, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Miami Breast Center LLC

  • Specialist
  • Key Biscayne, FL
  • NPI 1063726099
  Medicare reassignment
• Miami Hand PLLC

  • Specialist
  • Coconut Grove, FL
  • NPI 1295062610
  Medicare reassignment
• Badia Hand to Shoulder LLC

  • Orthopaedic Surgery Physician
  • Doral, FL
  • NPI 1851560031
  NPD (past)

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

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1366030488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11424 SW 132ND PL APT 4",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331867980",
            "telephone_number": "786-543-1459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2734 SW 37TH AVE",
            "city": "COCONUT GROVE",
            "state": "FL",
            "postal_code": "331332728",
            "telephone_number": "305-642-4263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYA",
        "first_name": "JESSIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-05",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "FL",
            "license": "9116469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Polanco
• Sofia Poma, PHD
• Fernanda Ponce
• Prime Sports Physical Therapy
• Prosthodontic Dentistry of S FL
• Yamileth Rivera
• Rivero Chiropractic Center P.a
• Alberto Rivero, D.C.
• Jessica Rodriguez, ARNP
• Rachel D Rodriguez

• Surgery of the Hand (Surgery) Physician in Coconut Grove, FL
• Providers in Coconut Grove, FL by specialty
• Surgery of the Hand (Surgery) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; 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.

Verify at the official NPI Registry.