Active NPI
Rafael a. Machin Porrata, LLC
- Health Service Clinic/Center
- Aguada, PR
National Provider Identifier
1043876543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- RAFAEL A. MACHIN PORRATA, LLC
- Practice address
- 93 Calle Colon
Aguada, PR 00602-3054 - Phone
- (787) 589-7178
- Fax
- (787) 589-7185
- NPI assigned
- May 10, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Rafael Angel Machin Porrata, MD
- Title
- President
- Phone
- (787) 589-7178
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | Primary |
Addresses
Primary practice location
93 Calle Colon
Aguada, PR 00602-3054
Mailing address
Paseo Los Robles
1322 Calle Dr Ramirez Quiles
Mayaguez, PR 00680
Phone (787) 589-7178
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200527000432 | PR | Part B Supplier - Clinic/Group Practice | 9335560598 |
Receives reassigned benefits from 3 practitioners Practice locations: Aguada, PR |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557446400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1592352000000",
"number": "1043876543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PASEO LOS ROBLES",
"address_2": "1322 CALLE DR RAMIREZ QUILES",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "00680",
"telephone_number": "787-589-7178",
"fax_number": "787-589-7185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "93 CALLE COLON",
"city": "AGUADA",
"state": "PR",
"postal_code": "006023054",
"telephone_number": "787-589-7178",
"fax_number": "787-589-7185"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAFAEL A. MACHIN PORRATA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-05-10",
"last_updated": "2020-06-17",
"certification_date": "2020-06-17",
"status": "A",
"authorized_official_last_name": "MACHIN PORRATA",
"authorized_official_first_name": "RAFAEL",
"authorized_official_middle_name": "ANGEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-589-7178",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aguada, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.