Rafael Pena Pena, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11018701 Issued in FL

Practice address

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

Phone

(305) 642-4263

Fax

(305) 426-3329

NPI assigned

Mar 24, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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

Nurse Practitioner

State licenses

Practice roles

Locations

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 NPD
• Miami Hand PLLC

  • Specialist
  • Coconut Grove, FL
  • NPI 1295062610
  Medicare reassignment NPD

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

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1508516550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3186 W 78TH PL",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330183847"
        },
        {
            "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",
            "fax_number": "305-426-3329"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3186 W 78th Pl",
            "address_purpose": "LOCATION",
            "city": "Hialeah Gardens",
            "state": "FL",
            "postal_code": "330183847",
            "country_code": "US",
            "telephone_number": "786-366-5756",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENA PENA",
        "first_name": "RAFAEL",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-24",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11018701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Lee Olivo
• Orthonow Doral LLC
• Rosalind Rochelle Paden, CRNA
• Cristina Park, M.D.
• Stephen Joseph Parr, DDS
• Alberto A Penalver, MD
• Joanes Perez
• Howard Newton Pitt
• Christopher Polanco
• Sofia Poma, PHD

• Family Nurse Practitioner in Coconut Grove, FL
• Providers in Coconut Grove, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; 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.