Individual provider Active NPI

Rafael Bernal Rancel

  • Case Manager/Care Coordinator
  • Miami, FL
National Provider Identifier
1578100400
Registry record updated Apr 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
4215 SW 72ND Ave
Miami, FL 33155-4510
Phone
(305) 377-3297
NPI assigned
Dec 10, 2019
Last updated
Apr 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X NU Primary

Addresses

Primary practice location

4215 SW 72ND Ave
Miami, FL 33155-4510

Mailing address

1147 NW 124TH PL
Miami, FL 33182-2465
Phone (305) 767-8595

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

Practice roles

OrganizationSpecialtyStatusNew patients
Syx, Corp. CurrentSince Apr 24, 2022 Accepting new patients
Reborn Community Services LLC Current Accepting new patients

Locations

10691 N Kendall Dr
Ste 112
Miami, FL 33176
Phone (305) 767-8595

4215 SW 72nd Ave
Miami, FL 33155
Phone (305) 377-3297

Organizations & group practices 2

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": "1575936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1578100400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1147 NW 124TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331822465",
            "telephone_number": "305-767-8595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4215 SW 72ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331554510",
            "telephone_number": "305-377-3297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNAL RANCEL",
        "first_name": "RAFAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-10",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; 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.