Rafael Balboa, DMD
NPI 1497184097 · Dentist · Miami, FL
Enrolled with Medicare as Order and Referring Only - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Rafael Balboa, DMD is a Dentist provider in Miami, FL (NPI 1497184097).
Provider details
- NPI number
- 1497184097
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- DN20434 (FL)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
12 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
1 documented practice location
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 1 distinct drug on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Amoxicillin | 16 | 14 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$126 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-11-04
- Last updated
- 2015-07-16
Frequently asked questions
- What is Rafael Balboa's NPI number?
- Rafael Balboa's National Provider Identifier (NPI) is 1497184097, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Rafael Balboa's specialty?
- Rafael Balboa is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Rafael Balboa located?
- Rafael Balboa's practice location on file with NPPES is 14527 Sw 42nd St, Miami, FL 33175-7801.
- What is Rafael Balboa's phone number?
- The practice phone number listed in the NPPES registry for Rafael Balboa is (786) 488-2895.
- Does Rafael Balboa accept Medicare?
- Rafael Balboa is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Rafael Balboa's NPI active?
- Yes — Rafael Balboa's NPI (1497184097) is active in the NPPES registry as of the last update on 2015-07-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.