Individual provider Active NPI

Raquel Rosa Bernal, APRN

  • Nurse Practitioner
  • Miami, FL
National Provider Identifier
1770058109
Registry record updated Oct 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9297832 Issued in FL
Practice address
8932 SW 97TH Ave
Miami, FL 33176-1936
Phone
(305) 270-3400
NPI assigned
Oct 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP9297832 FL Primary

Addresses

Primary practice location

8932 SW 97TH Ave
Miami, FL 33176-1936

Mailing address

Um Sylvester Comprehensive Cancer Center
1400 NW 10TH Avenue
Miami, FL 33136

Other practice location 1

5130 SW 69th Ave
Miami, FL 33155
Phone (305) 542-0084

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181204000724 FL Practitioner - Nurse Practitioner 2163766049 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP9297832FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular Medicine Associates PA CurrentSince Apr 1, 2019 Accepting new patients

Locations

2250 S Dixie Hwy
Miami, FL 33133
Phone (305) 666-4633

6200 Sunset Dr
Ste 401
South Miami, FL 33143
Phone (305) 666-4633

7330 SW 62nd Pl
Ste 310
South Miami, FL 33143
Phone (305) 663-1001

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1931/brand/1/csg/41/fhir/r4

Organizations & group practices 1

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": "1539302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540857600000",
    "number": "1770058109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UM SYLVESTER COMPREHENSIVE CANCER CENTER",
            "address_2": "1400 NW 10TH AVENUE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8932 SW 97TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761936",
            "telephone_number": "305-270-3400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5130 SW 69th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "33155",
            "country_code": "US",
            "telephone_number": "305-542-0084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERNAL",
        "first_name": "RAQUEL",
        "middle_name": "ROSA",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-12",
        "last_updated": "2018-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9297832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.