Individual provider Active NPI

Rafael Nogues, MD

  • Specialist
  • Miami, FL
National Provider Identifier
1740265164
Registry record updated Sep 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME69090 Issued in FL
Practice address
5775 Blue Lagoon Dr
Suite 190
Miami, FL 33126-2059
Phone
(305) 442-0028
Fax
(305) 476-1603
NPI assigned
Dec 8, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME69090 FL Primary

Addresses

Primary practice location

5775 Blue Lagoon Dr
Suite 190
Miami, FL 33126-2059

Mailing address

5775 Blue Lagoon Dr
Suite 190
Miami, FL 33126-2059
Phone (305) 442-0028

Other identifiers 1

IdentifierTypeStateIssuer
379058400MedicaidFL

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
I20041207000217 FL Practitioner - Family PracticePractitioner - General Practice 1951367697 Practice locations: Hialeah, FL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME69090FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
First Docs PC Past Accepting new patients
Rafael L. Nogues MD PA Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1134000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316736000000",
    "number": "1740265164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5775 BLUE LAGOON DR",
            "address_2": "SUITE 190",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262059",
            "telephone_number": "305-442-0028",
            "fax_number": "305-476-1603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5775 BLUE LAGOON DR",
            "address_2": "SUITE 190",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262059",
            "telephone_number": "305-442-0028",
            "fax_number": "305-476-1603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOGUES",
        "first_name": "RAFAEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-08",
        "last_updated": "2011-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME69090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "379058400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.