Rafael Diaz Acosta, MD PA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

ME129046 Issued in FL

Legal business name

RAFAEL DIAZ ACOSTA, MD PA

Practice address

3499 W 4TH Ave Ste 201
Hialeah, FL 33012-4333

Phone

(305) 558-0411

NPI assigned

Aug 18, 2016

Last updated

Sep 13, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Rafael Diaz Acosta, MDNPI 1164793873

Title

MD/Owner

Phone

(832) 606-6735

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Networks

• HealthSun Health Plans Network

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rafael Diaz Acosta, MD

  • Surgery Physician
  • Hialeah, FL
  • NPI 1164793873
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1471478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726185600000",
    "number": "1902351083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10081 PINES BLVD STE B",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246171",
            "telephone_number": "954-251-1175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3499 W 4TH AVE STE 201",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124333",
            "telephone_number": "305-558-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAFAEL DIAZ ACOSTA, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-18",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A",
        "authorized_official_last_name": "DIAZ ACOSTA",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "832-606-6735",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME129046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.