Individual provider Active NPI

Hector C Rasco, M.D

  • General Practice Physician
  • Hialeah, FL
National Provider Identifier
1386873412
Registry record updated Sep 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN906 Issued in FL
Practice address
5362 W 20TH CT
Hialeah, FL 33016-2023
Phone
(305) 987-9628
Fax
(305) 640-8727
NPI assigned
Jul 10, 2009
Last updated
Sep 24, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ACN906 FL Primary

Addresses

Primary practice location

5362 W 20TH CT
Hialeah, FL 33016-2023

Mailing address

5362 W 20TH CT
Hialeah, FL 33016-2023
Phone (305) 987-9628

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100225000869 PR Practitioner - General Practice 9133263312 Practice locations: Toa Alta, PR
I20201204000467 FL Practitioner - General Practice 9133263312 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ACN906FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Entrust Medical Group Inc General Practice CurrentSince Nov 11, 2024 Accepting new patients
Montero & Associates Medical Center, Inc CurrentSince Apr 6, 2026 Accepting new patients
Acn Physicians Group Corp CurrentSince Nov 1, 2022 Accepting new patients
Toa Alta Medical Group Ipa 348 Past Accepting new patients
Service Al Lopez LLC Past Accepting new patients
Zuniga & Associates Inc. PastSince Nov 10, 2019 Accepting new patients

Locations

13255 SW 137th Ave
Ste 204205
Miami, FL 33186
Phone (786) 539-8927

7490 SW 23rd St
Ste 201
Miami, FL 33155
Phone (305) 654-7224

14411 Commerce Way
Ste 300
Miami Lakes, FL 33016
Phone (786) 803-8687

Organizations & group practices 8

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": "1247184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600905600000",
    "number": "1386873412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5362 W 20TH CT",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330162023",
            "telephone_number": "305-987-9628",
            "fax_number": "305-640-8727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5362 W 20TH CT",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330162023",
            "telephone_number": "305-987-9628",
            "fax_number": "305-640-8727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASCO",
        "first_name": "HECTOR",
        "middle_name": "C",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-10",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.