NPIMap

Individual provider Active NPI

Rafael Osvaldo Hernandez Lora, M.D.

  • Internal Medicine Physician
  • Miramar, FL
National Provider Identifier
1689914814
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME119903 Issued in FL
Practice address
3161 SW 160TH Ave
Miramar, FL 33027-4214
Phone
(954) 450-3550
Fax
(954) 450-3557
NPI assigned
Feb 25, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X ME119903 FL Primary

Addresses

Primary practice location

3161 SW 160TH Ave
Miramar, FL 33027-4214

Mailing address

3161 SW 160TH Ave
Miramar, FL 33027-4214
Phone (954) 450-3550

Other practice location 1

2200 N Commerce Pkwy Ste 200
Weston, FL 33326-3258
Phone (305) 898-9707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141006002111 FL Practitioner - Internal MedicinePractitioner - Geriatric Medicine 9830319268 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Domus Care SolutionsGroup PAC ID 7618398033, 4 clinicians
Nest Medical Center PAGroup PAC ID 2769995745, 2 clinicians

Practice addresses (Care Compare)

2200 N Commerce Pkwy
Suite 200
Weston, FL 33326-3258
Phone (718) 406-4896

3161 SW 160TH Ave
Miramar, FL 33027-4214
Phone (954) 450-3550

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue15

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Domus Care Solutions Internal Medicine CurrentSince Nov 5, 2019 Accepting new patients
Synera Health Group LLC Current Accepting new patients
Nest Medical Center PA Internal Medicine CurrentSince Jun 1, 2025 Accepting new patients

Locations

3161 SW 160th Ave
Miramar, FL 33027
Phone (954) 450-3550

2200 N Commerce Pkwy
Ste 200
Weston, FL 33326
Phone (305) 898-9707

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JHGACD

Organizations & group practices 3

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1361750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1689914814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3161 SW 160TH AVE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330274214",
            "telephone_number": "954-450-3550",
            "fax_number": "954-450-3557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3161 SW 160TH AVE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330274214",
            "telephone_number": "954-450-3550",
            "fax_number": "954-450-3557"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 N Commerce Pkwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Weston",
            "state": "FL",
            "postal_code": "333263258",
            "country_code": "US",
            "telephone_number": "305-898-9707",
            "fax_number": "954-529-2001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ LORA",
        "first_name": "RAFAEL",
        "middle_name": "OSVALDO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-02-25",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME119903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

Verify at the official NPI Registry.