Rafael Gosalbez, MD

Primary specialty

Pediatric Urology PhysicianTaxonomy code 2088P0231X

License

ME63491 Issued in FL

Practice address

3200 SW 60TH CT Ste 104
Miami, FL 33155-4069

Phone

(305) 669-6448

Fax

(305) 663-8485

NPI assigned

Jun 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 7

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

Specialty

Urology

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

South Florida Pediatric Urology LLPGroup PAC ID 0446745368, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Nicklaus Children'S Hospital Hospital, Miami, FL, CCN 103301

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rafael.gosalbez.1@32200.direct.athenahealth.com

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.

• South Florida Pediatric Urology LLP

  • Pediatric Urology Physician
  • Miami, FL
  • NPI 1891529715
  Medicare reassignment Care Compare group NPD
• Pediatrix Medical Group of Florida Inc

  • Pediatric Urology Physician
  • Miami, FL
  • NPI 1588231914
  NPD (past)
• University of Miami

  • Urology Physician
  • Miami, FL
  • NPI 1154371458
  NPD (past)
• University of Miami

  • Clinical Medical Laboratory
  • Miami, FL
  • NPI 1932150752
  NPD (past)

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

• Variety Children'S Hospital

  • Children's Hospital
  • Miami, FL
  • NPI 1871540237
  Care Compare affiliation

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524614400000",
    "number": "1811925548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 277279",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303847279",
            "telephone_number": "800-243-3839",
            "fax_number": "855-527-5510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 SW 60TH CT STE 104",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331554069",
            "telephone_number": "305-669-6448",
            "fax_number": "305-663-8485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSALBEZ",
        "first_name": "RAFAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2018-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "FL",
            "license": "ME63491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370961200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "7911584",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "208048",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PARTNERSHIP",
            "identifier": "031838",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "148549",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "17754",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STAYWELL",
            "identifier": "148549",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Federico Gorostiaga, M.D.
• Damaris Gorra Bertran
• Jonathan Edgard Gorra Diaz
• Amaya Gorrochategui
• Imanol Gorrochategui, RBT
• Antonio Gose
• Adhiraj Gosine, MD
• Mariah Gosling, MD
• Raluca Gosman, MD
• Ashley Marie Gosson

• Pediatric Urology Physician in Miami, FL
• Providers in Miami, FL by specialty
• Pediatric Urology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.