Individual provider Active NPI

Rafael Xavier Rodriguez-Werner, DMD

  • Dentist
  • Bayamon, PR
National Provider Identifier
1194712281
Registry record updated Oct 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2093 Issued in PR
Practice address
Reparto Alhambra D95 Ave. Los Millones
Bayamon, PR 00959-0000
Phone
(787) 740-1919
Fax
(787) 650-3584
NPI assigned
Oct 4, 2005
Last updated
Oct 15, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2093 PR Primary

Addresses

Primary practice location

Reparto Alhambra D95 Ave. Los Millones
Bayamon, PR 00959-0000

Mailing address

PO Box 143636
Arecibo, PR 00614-3636
Phone (787) 740-1919

Other practice location 1

Rd. 653 Km. 2.2
Arecibo, PR 00612
Phone (787) 816-8674

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161117001229 PR Order and Referring Only - DentistPractitioner - Dentist 0143509075

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2093PRMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Morales Dental Office PSC Dentist PastSince Dec 13, 2022 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697328000000",
    "number": "1194712281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 143636",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006143636",
            "telephone_number": "787-740-1919",
            "fax_number": "787-650-3584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "REPARTO ALHAMBRA D95 AVE. LOS MILLONES",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009590000",
            "telephone_number": "787-740-1919",
            "fax_number": "787-650-3584"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Rd. 653 Km. 2.2",
            "address_purpose": "LOCATION",
            "city": "Arecibo",
            "state": "PR",
            "postal_code": "00612",
            "country_code": "US",
            "telephone_number": "787-816-8674",
            "fax_number": "787-816-8674",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ-WERNER",
        "first_name": "RAFAEL",
        "middle_name": "XAVIER",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2023-10-15",
        "certification_date": "2023-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "2093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.