RAFAEL ANDRES SR. MIRABAL (FNP) – Family Nurse Practitioner, NPI 1134755663

RAFAEL ANDRES SR. MIRABAL (FNP) is a healthcare provider. based in Hialeah, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. APRN11006534 (FL). The NPI Number for RAFAEL ANDRES SR. MIRABAL (FNP) is 1134755663

Main info

Male
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
RAFAEL ANDRES SR. MIRABAL (FNP)
NPI
1134755663
Phone
(786) 340-4532
Address
4480 PALM AVE APT 214
Enumeration Date
16 March 2020
Last Update Date
3 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2396939191
Graduation Year
2019 (7 years ago)
PAC ID
5991124372
Group Practice PAC ID
9830244433
Professional Enrollment ID
I20201005001159
Address ID
FL339053217FO4881XBLVD401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for RAFAEL ANDRES SR. MIRABAL (FNP)

  • 4480 PALM AVE APT 214

    HIALEAH, FL 330124003

    Phone: (786) 340-4532

    Type: Mailing

  • 3351 MARINATOWN LN STE 200

    N FORT MYERS, FL 339037000

    Phone: (786) 340-4532

    Type: Location

  • 2675 WINKLER AVE FL 2

    FORT MYERS, FL 339019342

    Phone: (877) 856-3774

    Type: Mailing

  • 4881 PALM BEACH BLVD STE 100

    FORT MYERS, FL 339053217

    Phone: (239) 693-9191

    Fax: (239) 693-7369

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 99 Open Payments records for all available years, with a total value of $2,135.

Total Amount is formed as General ($2,135) + Research ($0) + Ownership ($0) = $2,135.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($485).

Total Amount

$2,135

General + Research + Ownership

Payments

99

Total payment records

General Amount

$2,135

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-10-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20201005001159INurse PractitionerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes8852$0
36415Insertion of needle into vein for collection of blood sample4629$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count4325$0
80053Blood test, comprehensive group of blood chemicals4127$0
83036Hemoglobin a1c level3121$0
View full utilization report →

Insurance plans in this area (ZIP 33012)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9830244433View full group profile
NameSpecialtyState
Family PracticeFL
Nurse PractitionerFL
Family PracticeFL
-FL
-FL
-FL
-FL
Nurse PractitionerFL
-FL
Cardiovascular Disease (Cardiology), Internal MedicineFL

Reviews

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Frequently asked questions

How do I look up RAFAEL ANDRES SR. MIRABAL (FNP) by NPI?
Use NPI 1134755663 when you need to reference RAFAEL ANDRES SR. MIRABAL (FNP) in forms, claims, or directories.
Does this profile mean RAFAEL ANDRES SR. MIRABAL (FNP) is currently active?
Yes — RAFAEL ANDRES SR. MIRABAL (FNP) appears active in the national provider directory.
Can you summarize RAFAEL ANDRES SR. MIRABAL (FNP)'s specialty in plain language?
Clinically, the directory lists RAFAEL ANDRES SR. MIRABAL (FNP) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place RAFAEL ANDRES SR. MIRABAL (FNP)?
The snapshot lists Hialeah, Florida for RAFAEL ANDRES SR. MIRABAL (FNP); download NPPES for the complete set.
What if Hialeah, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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