Individual provider Active NPI

Andres B Rabassa, FNP

  • Family Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1982010989
Registry record updated Jul 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP 9386806 Issued in FL
Practice address
7801 W 30TH LN
Hialeah, FL 33018-3832
Phone
(786) 712-6356
NPI assigned
Jul 10, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP 9386806 FL Primary

Addresses

Primary practice location

7801 W 30TH LN
Hialeah, FL 33018-3832

Mailing address

7801 W 30TH LN
Hialeah, FL 33018-3832

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150902001211 FL Practitioner - Nurse Practitioner 5698081842 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP 9386806FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
La Esperanza Medical Centers Inc CurrentSince Jun 11, 2018 Accepting new patients
Carlos Rodriguez Ortiz MD, PA Past Accepting new patients
Concepcion Medical LLC Past Accepting new patients

Locations

7911 NW 72nd Ave
Ste 109
Medley, FL 33166
Phone (305) 887-1005

Organizations & group practices 3

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": "1404950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404950400000",
    "number": "1982010989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7801 W 30TH LN",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330183832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7801 W 30TH LN",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330183832",
            "telephone_number": "786-712-6356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABASSA",
        "first_name": "ANDRES",
        "middle_name": "B",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-10",
        "last_updated": "2014-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP 9386806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.