Individual provider Active NPI

Cortez Rafel Fabia, FNP

  • Family Nurse Practitioner
  • Temple Terrace, FL
National Provider Identifier
1760343651
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11046294 Issued in FL
Practice address
13008 Telecom Dr Ste 250
Temple Terrace, FL 33637-0948
Phone
(817) 915-7628
NPI assigned
Nov 20, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN-5583 HI
Family Nurse Practitioner 363LF0000X APRN11046294 FL Primary
Family Nurse Practitioner 363LF0000X 95039264 CA

Addresses

Primary practice location

13008 Telecom Dr Ste 250
Temple Terrace, FL 33637-0948

Mailing address

13008 Telecom Dr Ste 250
Temple Terrace, FL 33637-0948
Phone (817) 915-7628

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

State licenses

LicenseStateTypeSpecialty
APRN-5583HIMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1763596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1760343651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13008 TELECOM DR STE 250",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336370948",
            "telephone_number": "817-915-7628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13008 TELECOM DR STE 250",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336370948",
            "telephone_number": "817-915-7628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABIA",
        "first_name": "CORTEZ",
        "middle_name": "RAFEL",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-11-20",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN-5583",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11046294",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95039264",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple Terrace, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; 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.