Dr Rafael A Gonzalez-pupo, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Hialeah, Florida. His current practice location is
7150 W 20th Ave Ste 615, Hialeah, Florida. You can reach out to his office (for appointments etc.) via phone at
(305) 691-4806.
Dr Rafael A Gonzalez-pupo is licensed to practice in Florida (license number ME160096) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1306158191.
Physician's Profile
| Full Name | Dr Rafael A Gonzalez-pupo |
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| Gender | Male |
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| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
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| Location | 7150 W 20th Ave Ste 615, Hialeah, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1306158191
- Provider Enumeration Date: 07/08/2010
- Last Update Date: 05/06/2024
Medicare PECOS Information:
- PECOS PAC ID: 9032583083
- Enrollment ID: I20230315000588
Medical Identifiers
Medical identifiers for Dr Rafael A Gonzalez-pupo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1306158191 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | ME160096 (Florida) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Rafael A Gonzalez-pupo allows following entities to bill medicare on his behalf.
| Entity Name | Steward Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1356654495
PECOS PAC ID: 2860688728
Enrollment ID: O20170602001215 |
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| Entity Name | University Of Miami |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013967827
PECOS PAC ID: 3274795109
Enrollment ID: O20200406001006 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Rafael A Gonzalez-pupo is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Dr Rafael A Gonzalez-pupo, MD
9940 Sw 62nd St,
Miami, FL 33173-1432
Ph: (786) 894-6513 | Dr Rafael A Gonzalez-pupo, MD
7150 W 20th Ave Ste 615,
Hialeah, FL 33016-5511
Ph: (305) 691-4806 |
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