Individual provider Active NPI

Rafael A. Baquero, M.D

  • Nephrology Physician
  • Caguas, PR
National Provider Identifier
1215040530
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
4536 Issued in PR
Practice address
Ave L Munoz Marin
Of 106 Hima
Caguas, PR 00725-4081
Phone
(787) 746-7441
Fax
(787) 746-3190
NPI assigned
Aug 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 4536 PR Primary
Nephrology Physician 207RN0300X ME 31992 FL

Addresses

Primary practice location

Ave L Munoz Marin
Of 106 Hima
Caguas, PR 00725-4081

Mailing address

PO Box 6628
Caguas, PR 00726-6628
Phone (787) 746-7441

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
I20120315000842 PR Practitioner - NephrologyPractitioner - Internal Medicine 4183534043 Reassigns benefits to 1 organization
Practice locations: Caguas, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 31992FLMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Grupo Renal del Este PSC. Nephrology CurrentSince Jun 26, 2013 Accepting new patients
Jose M Ayala and Rafael Baquero PTR Nephrology Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215040530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6628",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007266628",
            "telephone_number": "787-746-7441",
            "fax_number": "787-746-3190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE L MUNOZ MARIN",
            "address_2": "OF 106 HIMA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007254081",
            "telephone_number": "787-746-7441",
            "fax_number": "787-746-3190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAQUERO",
        "first_name": "RAFAEL",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PR",
            "license": "4536",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME 31992",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.