Individual provider Active NPI

Rafael F Medina-Prieto

  • Gastroenterology Physician
  • Cayey, PR
National Provider Identifier
1235660762
Registry record updated Jun 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
21302 Issued in PR
Practice address
150 Calle Lucia Vazquez S
Cayey, PR 00736-4735
Phone
(787) 263-7885
NPI assigned
Mar 26, 2017
Last updated
Jun 1, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 21302 PR Primary

Addresses

Primary practice location

150 Calle Lucia Vazquez S
Cayey, PR 00736-4735

Mailing address

PO Box 363396
San Juan, PR 00936-3396
Phone (787) 249-1421

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
I20230912003950 PR Practitioner - Gastroenterology 6406210293 Practice locations: Cayey, PR

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

150 Calle Lucia Vazquez S
Cayey, PR 00736-4735
Phone (787) 263-7885

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy405
Upper gastrointestinal (GI) endoscopy for acid reflux206

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
RMP LLC CurrentSince Jun 16, 2024 Accepting new patients

Locations

150 Calle Lucia Vazquez S
Cayey, PR 00736
Phone (787) 263-7885

130 Ave Winston Churchill
San Juan, PR 00926
Phone (787) 249-1421

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.

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": "1490486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717200000000",
    "number": "1235660762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 363396",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009363396",
            "telephone_number": "787-249-1421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 CALLE LUCIA VAZQUEZ S",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007364735",
            "telephone_number": "787-263-7885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA-PRIETO",
        "first_name": "RAFAEL",
        "middle_name": "F",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-26",
        "last_updated": "2024-06-01",
        "certification_date": "2024-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PR",
            "license": "21302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cayey, PR

Sources for this page

Verify at the official NPI Registry.