Individual provider Active NPI

Rafael Ubeda, MD

  • Family Medicine Physician
  • Lake Worth, FL
National Provider Identifier
1699724005
Registry record updated Apr 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME81313 Issued in FL
Practice address
2531 N Dixie Hwy
Lake Worth, FL 33460-6250
Phone
(561) 582-0330
Fax
(561) 582-0339
NPI assigned
May 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME81313 FL Primary

Addresses

Primary practice location

2531 N Dixie Hwy
Lake Worth, FL 33460-6250

Mailing address

17251 SW 216TH St
Miami, FL 33170-1803
Phone (305) 586-9812

Other names 1

  • Rafael A. Ubeda Professional name

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041021000165 FL Practitioner - Family Practice 9133180318 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2531 N Dixie Hwy
Lake Worth, FL 33460-6250
Phone (561) 582-0330

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME81313FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Johnson Medical Services Corporation Family Medicine CurrentSince Dec 23, 2008 Accepting new patients
Felcas Health Center Inc Family Medicine Past Accepting new patients
Miami Family Care Inc Family Medicine PastSince Oct 1, 2006 Accepting new patients
Smith Physical Therapy Rehabilitation Corp Past Accepting new patients

Locations

2531 N Dixie Hwy
Lake Worth Beach, FL 33460
Phone (561) 582-0330

Organizations & group practices 5

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618012800000",
    "number": "1699724005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17251 SW 216TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331701803",
            "telephone_number": "305-586-9812",
            "fax_number": "786-504-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2531 N DIXIE HWY",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334606250",
            "telephone_number": "561-582-0330",
            "fax_number": "561-582-0339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UBEDA",
        "first_name": "RAFAEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2021-04-10",
        "certification_date": "2021-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME81313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAFAEL",
            "last_name": "UBEDA",
            "middle_name": "A.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lake Worth, FL

Sources for this page

Verify at the official NPI Registry.