NPIMap

Individual provider Active NPI

Rafael Andres Vicens Rodriguez, M.D.

  • Body Imaging Physician
  • Bayamon, PR
National Provider Identifier
1265697114
Registry record updated Mar 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Body Imaging PhysicianTaxonomy code 2085B0100X
License
18731 Issued in PR
Practice address
1710 Carr 2 # Int167
Condominio Gallardo Towers Suite 101
Bayamon, PR 00961-6329
Phone
(787) 785-8034
Fax
(787) 787-8029
NPI assigned
Jul 21, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X 18731 PR Primary
Diagnostic Radiology Physician 2085R0202X 18731 PR

Addresses

Primary practice location

1710 Carr 2 # Int167
Condominio Gallardo Towers Suite 101
Bayamon, PR 00961-6329

Mailing address

PO Box 9190
Humacao, PR 00792-9190

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141208000841 PR Practitioner - Diagnostic Radiology 9537481288 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Puerto Rico School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doctors Center Hospital San Juan 11 clinicians
Doctors Center Hospital Bayamon Inc 13 clinicians
Doctors Center Hospital Inc 20 clinicians
Doctors Center Hospital Carolina LLC 11 clinicians
SHC Owner, LLC 11 clinicians

Practice addresses (Care Compare)

1395 Calle San Rafael
San Juan, PR 00909-2518
Phone (787) 999-7620

Calle
9 Extension Hermanas Davilas
Bayamon, PR 00960
Phone (787) 622-5420

Carr 2 KM
Suite 7
Manati, PR 00674-8513
Phone (787) 854-3322

Edificio Jesus T Pinero Ave Fernandez
Bo Pueblo
Carolina, PR 00979
Phone (787) 626-3322

Road 696 Interseccion Ave Efron
Bo Higuillar
Dorado, PR 00646-5718
Phone (787) 625-5050

Hospital & facility affiliations

  • Doctors' Center Hospital, Inc Hospital, Manati, PR, CCN 400118
  • Doctors Center Hospital Orlando Health Dorado Hospital, Dorado, PR, CCN 400137
  • Doctors' Center Hospital San Juan Hospital, Santurce, PR, CCN 400006
  • Doctors' Center Bayamon Hospital, Bayamon, PR, CCN 400102
  • Doctors Center Hospital Carolina LLC Hospital, Carolina, PR, CCN 400132

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18731PRMDBody Imaging Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors Center Hospital Inc CurrentSince Sep 18, 2015 Accepting new patients
Mennonite General Hospital Inc CurrentSince Jan 12, 2019 Accepting new patients
Centro Medico del Turabo Inc CurrentSince Oct 20, 2014 Accepting new patients
Centro Medico del Turabo Inc CurrentSince Oct 20, 2014 Accepting new patients
Doctors Center Hospital Bayamon Inc CurrentSince Sep 18, 2015 Accepting new patients
GRP Med CT Radiology Complex CurrentSince Jan 28, 2018 Accepting new patients
Doctors Center Hospital San Juan CurrentSince Sep 18, 2015 Accepting new patients
Doctors Center Hospital Carolina LLC Current Accepting new patients
Doctors Center Hospital San Juan CurrentSince Sep 18, 2015 Accepting new patients
Doctors Center Hospital Carolina LLC CurrentSince Sep 18, 2015 Accepting new patients
Hospital Menonita Guayama Inc Diagnostic Radiology CurrentSince Oct 1, 2023 Accepting new patients
M & P Radiologos, LLC Body Imaging CurrentSince Apr 22, 2018 Accepting new patients
Mennonite General Hospital Inc. CurrentSince Jan 12, 2019 Accepting new patients
Laboratorio Clinico Y de Ref de Fajardo Inc CurrentSince Jan 18, 2016 Accepting new patients
Caribe Physicians Plaza Corporation CurrentSince Jan 18, 2016 Accepting new patients
SHC Owner LLC Diagnostic Radiology CurrentSince Apr 7, 2023 Accepting new patients
CT Radiology Complex, LLC Body Imaging CurrentSince Jan 28, 2018 Accepting new patients
Farmacia de la Comunidad Hospital Menonita de Guayama Past Accepting new patients
DJM Imaging Center LLC Diagnostic Radiology Past Accepting new patients
Hospitalist Medical Services, PSC PastSince Sep 18, 2015 Accepting new patients

Locations

100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261

151 Ave Osvaldo Molina
Fajardo, PR 00738
Phone (787) 414-4434

1395 Calle San Rafael
#20
Santurce, PR 00909
Phone 78785433221191

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 7

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": "1216598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458000000000",
    "number": "1265697114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9190",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007929190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 CARR 2 # INT167",
            "address_2": "CONDOMINIO GALLARDO TOWERS SUITE 101",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009616329",
            "telephone_number": "787-785-8034",
            "fax_number": "787-787-8029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICENS RODRIGUEZ",
        "first_name": "RAFAEL",
        "middle_name": "ANDRES",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-21",
        "last_updated": "2016-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "PR",
            "license": "18731",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PR",
            "license": "18731",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.