Rafael Angel Taboas, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

785 Issued in PR

Practice address

525 Ave FD Roosevelt Ste 406
San Juan, PR 00918-8102

Phone

(787) 767-0599

Fax

(787) 756-0774

NPI assigned

Nov 4, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

International American University at Puerto Rico - School of Optometry, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Plaza Refractive Laser Center, Inc.

  • Ophthalmic Technician/Technologist
  • San Juan, PR
  • NPI 1689795734

  Optometrist

  NPD (past)
• Ulloa Oculoplastic Surgery LLC

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Guaynabo, PR
  • NPI 1033910732
  NPD (past)

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

{
    "created_epoch": "1762214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1063381234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 AVE FD ROOSEVELT STE 406",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009188102",
            "telephone_number": "787-767-0599",
            "fax_number": "787-756-0774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 AVE FD ROOSEVELT STE 406",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009188102",
            "telephone_number": "787-767-0599",
            "fax_number": "787-756-0774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABOAS",
        "first_name": "RAFAEL",
        "middle_name": "ANGEL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-11-04",
        "last_updated": "2025-11-04",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosa Maria Surrilo, RNMSN
• T-Poc PR, LLC
• T&C Mental Health Home Service, Inc
• Karla M Taboas, M.S. SLP
• Rafael A. Taboas, M.D.
• William Rafael Taboas, M.D.
• Francine Loren Tait Avagnina
• Tait Neurology and Headache Medicine LLC
• Jessika Talavera, PH.D.
• Vivian M. Tamayo - Agrait, MD

• Optometrist in San Juan, PR
• Providers in San Juan, PR by specialty
• Optometrist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.