Individual provider Active NPI

Rafael Grovas Porrata

  • Specialist
  • San German, PR
National Provider Identifier
1023073004
Registry record updated May 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
12786 Issued in PR
Practice address
43 Calle Dr Veve
Edificio Grovas Rodriguez Suite 1
San German, PR 00683-4100
Phone
(787) 892-5030
Fax
(787) 264-7279
NPI assigned
Apr 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 12786 PR Primary

Addresses

Primary practice location

43 Calle Dr Veve
Edificio Grovas Rodriguez Suite 1
San German, PR 00683-4100

Mailing address

PO Box 559
San German, PR 00683-0559
Phone (787) 892-5030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040330001328 PR Practitioner - Diagnostic Radiology 9931191137 Reassigns benefits to 2 organizations
Practice locations: San German, PR

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University Central del Caribe Escuela de Medicina, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
San German X Ray and Body Imaging Center, PSC.Group PAC ID 0840282968, 2 clinicians

Practice addresses (Care Compare)

43 Calle Dr Veve
San German, PR 00683-4100
Phone (787) 892-5030

Calle Dr Veve
Suite 43
San German, PR 00683-4100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Yaguez, Inc Specialist CurrentSince Jun 13, 2012 Accepting new patients
Clinica Yaguez, Inc. CurrentSince Jun 13, 2012 Accepting new patients
San German X Ray & Body Imaging Center, PSC. Specialist CurrentSince Apr 17, 2011 Accepting new patients

Locations

117 Calle Ramon Valdes
Mayaguez, PR 00680
Phone (787) 832-8445

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304899200000",
    "number": "1023073004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 559",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006830559",
            "telephone_number": "787-892-5030",
            "fax_number": "787-264-7279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 CALLE DR VEVE",
            "address_2": "EDIFICIO GROVAS RODRIGUEZ SUITE 1",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006834100",
            "telephone_number": "787-892-5030",
            "fax_number": "787-264-7279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROVAS PORRATA",
        "first_name": "RAFAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2011-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "12786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San German, PR

Sources for this page

Verify at the official NPI Registry.