Look up the most recent NPI and PECOS records

Rafaela Marria De La Huerta

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

PECOS Enrollment

This provider is enrolled in PECOS as RAFAELA DE LA HUERTA.

Based on the most recent information from CMS, provider Rafaela Marria De La Huerta is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1720462708
Provider Type
Individual
Full Name
De La Huerta, Rafaela Marria
Credential
FNP

Gender
Female
Sole Proprietor
No
Enumeration Date
7/19/2015
Last Updated
6/27/2016

Contact Information

Practice Location

25 E 183rd St, Bronx, NY 10453-1242

(718) 716-4400

Unlisted Fax

Mailing Location

25 E 183rd St, Bronx, NY 10453-1242

(718) 716-4400

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License F340328-1 New York
Code 163W00000X	Description Registered Nurse Nursing Service Providers	License 688922-1 New York

Rafaela Marria De La Huerta

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Harinath, Umawattie

Kim, Michael Jae Woo

Ramsay-Dasent, Dawn J

Carr-Celestine, Schevaughn

Carew, Jacqueline C

Herrera, Yoandri

Chris-Onuoha, Joy

Nweke, Blessing Ngozi

Rengel, Darrel

Mikhail-Powe, Joanna