Individual provider Active NPI

Miguel Rebollar, MD

  • Internal Medicine Physician
  • Hialeah, FL
National Provider Identifier
1831108729
Registry record updated Dec 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME51316 Issued in FL
Practice address
1435 W 49 PL Suite 201
Hialeah, FL 33012
Phone
(305) 828-4155
Fax
(305) 828-9339
NPI assigned
Aug 7, 2006
Last updated
Dec 11, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME51316 FL Primary

Addresses

Primary practice location

1435 W 49 PL Suite 201
Hialeah, FL 33012

Mailing address

1435 W 49 PL Suite 201
Hialeah, FL 33012
Phone (305) 828-4155

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
I20040723000371 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0941280515 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1435 W 49 PL
Suite 201
Hialeah, FL 33012-3147
Phone (305) 828-4155

1435 W 49TH Place
Suite 201
Hialeah, FL 33012-3147

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME51316FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Equipment Resolve Inc CurrentSince Aug 2, 2020 Accepting new patients
Miguel Rebollar P.a. Internal Medicine CurrentSince Nov 15, 2009 Accepting new patients

Locations

1435 W 49th Pl
Ste 201
Hialeah, FL 33012
Phone (305) 823-2710

5979 NW 151st St
Ste 110
Miami Lakes, FL 33014
Phone (786) 762-2973

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260489600000",
    "number": "1831108729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 W 49 PL SUITE 201",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33012",
            "telephone_number": "305-828-4155",
            "fax_number": "305-828-9339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 W 49 PL SUITE 201",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33012",
            "telephone_number": "305-828-4155",
            "fax_number": "305-828-9339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REBOLLAR",
        "first_name": "MIGUEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2009-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME51316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.