Individual provider Active NPI

Rafael Alfredo Cabrera Safonst, CAP,ICADC

  • Addiction (Substance Use Disorder) Counselor
  • Miami, FL
National Provider Identifier
1912614629
Registry record updated Nov 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CAP.0100428 Issued in FL
Practice address
2691 NE 2ND Ave
Miami, FL 33137-4414
Phone
(305) 576-6611
Fax
(855) 346-9049
NPI assigned
Nov 2, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CAP.0100428 FL Primary

Addresses

Primary practice location

2691 NE 2ND Ave
Miami, FL 33137-4414

Mailing address

2691 NE 2ND Ave
Miami, FL 33137-4414
Phone (305) 576-6611

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
CAP.0100428FLMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1667347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667520000000",
    "number": "1912614629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2691 NE 2ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331374414",
            "telephone_number": "305-576-6611",
            "fax_number": "855-346-9049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2691 NE 2ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331374414",
            "telephone_number": "305-576-6611",
            "fax_number": "855-346-9049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABRERA SAFONST",
        "first_name": "RAFAEL",
        "middle_name": "ALFREDO",
        "name_prefix": "Mr.",
        "credential": "CAP,ICADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-02",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "CAP.0100428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; 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.