Individual provider Active NPI

Rafael Salomon II, RAFAEL SALOMON

  • Community Health Worker
  • Hialeah, FL
National Provider Identifier
1497046692
Registry record updated Apr 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
License
685650196 Issued in FL
Practice address
3184 W 72ND St
Hialeah, FL 33018-5222
Phone
(305) 218-9479
Fax
(305) 364-9296
NPI assigned
Apr 22, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X 685650196 FL Primary

Addresses

Primary practice location

3184 W 72ND St
Hialeah, FL 33018-5222

Mailing address

3184 W 72ND St
Hialeah, FL 33018-5222
Phone (305) 218-9479

Other names 1

  • Rafael Salomon Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
685650196FLMDHome Health Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Salomon Family Services Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1303430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303430400000",
    "number": "1497046692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3184 W 72ND ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330185222",
            "telephone_number": "305-218-9479",
            "fax_number": "305-364-9296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3184 W 72ND ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330185222",
            "telephone_number": "305-218-9479",
            "fax_number": "305-364-9296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALOMON",
        "first_name": "RAFAEL",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "RAFAEL SALOMON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-22",
        "last_updated": "2011-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "FL",
            "license": "685650196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAFAEL",
            "last_name": "SALOMON",
            "credential": "RAFAEL SALOMON",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.