Active NPI
Rafael Pastrana Laborde, MD
- Gastroenterology Physician
- Hato Rey, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- ME96195
- Practice address
- 735 Ave Ponce de Leon
Ste 816
Hato Rey, PR 00917-5022 - Phone
- (787) 505-5482
- Fax
- (787) 250-1928
- NPI assigned
- Jul 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME96195 | FL | |
| Gastroenterology Physician | 207RG0100X | ME96195 | FL | Primary |
Addresses
Primary practice location
735 Ave Ponce de Leon
Ste 816
Hato Rey, PR 00917-5022
Mailing address
735 Ave Ponce de Leon Ste 816
Torre Medica Auxilio Mutuo
San Juan, PR 00917
Phone (787) 763-1025
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 275571800 | Medicaid | FL | |
| 53390 | Other | FL | BLUE CROSS BLUE SHIELD |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070910000570 | PR | Practitioner - Gastroenterology | 6709889538 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- University of Puerto Rico School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hospital Espanol Auxilio Mutuo de Puerto Rico, Inc.
Practice addresses (Care Compare)
715 Ave Ponce de Leon
Stop 37.5
San Juan, PR 00917-5032
Phone (787) 758-2000
735 Ave Ponce de Leon
San Juan, PR 00917-5022
Phone (787) 765-6554
Ponce de Leon Ave
715 Stop 37.5
San Juan, PR 00918-1000
Phone (787) 771-7934
Hospital & facility affiliations
- Auxilio Mutuo Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.6 of 100
- Quality
- 66.19
- Improvement activities
- 40
- Cost
- 73.97
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 93 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 86 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME96195 | FL | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital Espanol Auxilio Mutuo de Puerto Rico, Inc. | Current | Accepting new patients | |
| Mennonite General Hospital Inc | Current | Accepting new patients | |
| Hospital Espanol Auxilio Mutuo de Puerto Rico, Inc. | Current | Accepting new patients | |
| PR Gi-Liver Associates PSC | Gastroenterology | Current | Accepting new patients |
| Hospital Espanol Auxilio Mutuo de Puerto Rico, Inc. | Gastroenterology | Current | Accepting new patients |
| Hospital Espanol Auxilio Mutuo de Puerto Rico, Inc. | Current | Accepting new patients |
Locations
735 Ave Ponce de Leon
Ste 816
San Juan, PR 00917
Phone (787) 505-5482
715 Ave Ponce de Leon
Stop 375
San Juan, PR 00917
Phone 7877582000 ext. 3216
Organizations & group practices 9
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.
-
- General Acute Care Hospital
- San Juan, PR
- NPI 1376561522
PR
-
- Gastroenterology Physician
- San Juan, PR
- NPI 1144516436
Gastroenterology, PR
-
- Rehabilitation Clinic/Center
- San Juan, PR
- NPI 1992369615
-
- General Acute Care Hospital
- San Juan, PR
- NPI 1265493001
-
- Nutritionist
- San Juan, PR
- NPI 1356771158
-
- Specialist
- San Juan, PR
- NPI 1952721433
-
- Gastroenterology Physician
- San Juan, PR
- NPI 1851853873
Gastroenterology
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Juan, PR
- NPI 1265493001
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374019200000",
"number": "1073545257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "735 AVE PONCE DE LEON STE 816",
"address_2": "TORRE MEDICA AUXILIO MUTUO",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00917",
"telephone_number": "787-763-1025",
"fax_number": "787-250-1928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "735 AVE PONCE DE LEON",
"address_2": "STE 816",
"city": "HATO REY",
"state": "PR",
"postal_code": "009175022",
"telephone_number": "787-505-5482",
"fax_number": "787-250-1928"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASTRANA LABORDE",
"first_name": "RAFAEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2013-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME96195",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "FL",
"license": "ME96195",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "275571800",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "53390",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hato Rey, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; 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.