DR. RAFAEL G BALBOA DMD
NPI 1497184097
Dentist in Miami, FL
About Dr. Rafael G Balboa Dmd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RAFAEL G BALBOA DMD (NPI 1497184097) is an individual dentist in Miami, Florida, licensed in Florida (DN20434) and active in the NPI registry since November 2013. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Rafael G Balboa Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33175 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Rafael Balboa's NPI number?
The NPI number for Rafael Balboa is 1497184097. It was assigned to this individual provider in the NPPES registry on November 4, 2013.
Where is Rafael Balboa located?
Rafael Balboa practices at 14527 SW 42nd St, Miami, FL 33175. The listed phone number is (786) 488-2895.
What is Rafael Balboa's specialty?
The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.
Is Rafael Balboa enrolled in Medicare?
Yes. Rafael Balboa is registered in the Medicare PECOS enrollment system.
What insurance does Rafael Balboa accept?
Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 7 other insurers list Rafael Balboa as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Rafael Balboa was last updated on July 16, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.
