Individual provider Active NPI

Jesus Rafael Friman, MD

  • Family Medicine Physician
  • Hialeah, FL
National Provider Identifier
1932220407
Registry record updated Dec 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME 102936 Issued in FL
Practice address
18400 NW 75TH PL
Suite 106
Hialeah, FL 33015-2955
Phone
(786) 717-6868
Fax
(305) 825-9999
NPI assigned
Apr 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME 102936 FL Primary

Addresses

Primary practice location

18400 NW 75TH PL
Suite 106
Hialeah, FL 33015-2955

Mailing address

18400 NW 75TH PL
Suite 106
Hialeah, FL 33015-2955
Phone (786) 717-6868

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
I20100609000630 FL Practitioner - Family Practice 3971633447 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 102936FLMDFamily Medicine Physician

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": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481673600000",
    "number": "1932220407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18400 NW 75TH PL",
            "address_2": "SUITE 106",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330152955",
            "telephone_number": "786-717-6868",
            "fax_number": "305-825-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18400 NW 75TH PL",
            "address_2": "SUITE 106",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330152955",
            "telephone_number": "786-717-6868",
            "fax_number": "305-825-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIMAN",
        "first_name": "JESUS",
        "middle_name": "RAFAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2016-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME 102936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.