Individual provider Active NPI

Rafael Pastrana Laborde, MD

  • Gastroenterology Physician
  • Hato Rey, PR
National Provider Identifier
1073545257
Registry record updated Jul 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME96195 Issued in FL
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

Updated by the provider on Jul 17, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
275571800MedicaidFL
53390OtherFLBLUE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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. 54 clinicians

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 Hospital, San Juan, PR, CCN 400016

Merit-based Incentive Payment System (MIPS)

Final score
78.6 of 100Reported as group
Quality
66.19
Improvement activities
40
Cost
73.97

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy93
Upper gastrointestinal (GI) endoscopy for acid reflux86

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME96195FLMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Espanol Auxilio Mutuo de Puerto Rico, Inc. Current Accepting new patients
Mennonite General Hospital Inc CurrentSince Mar 24, 2017 Accepting new patients
Hospital Espanol Auxilio Mutuo de Puerto Rico, Inc. CurrentSince Aug 24, 2011 Accepting new patients
PR Gi-Liver Associates PSC Gastroenterology CurrentSince Nov 7, 2011 Accepting new patients
Hospital Espanol Auxilio Mutuo de Puerto Rico, Inc. Gastroenterology CurrentSince Jan 1, 2020 Accepting new patients
Hospital Espanol Auxilio Mutuo de Puerto Rico, Inc. CurrentSince Aug 24, 2011 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.