Rafael R. Bermudez, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

12053 Issued in PR

Practice address

29 Calle Washington
Ste 802
San Juan, PR 00907-1503

Phone

(787) 725-1603

Fax

(787) 721-0439

NPI assigned

Sep 22, 2006

Last updated

Jun 4, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Internal Medicine

Education

University of Puerto Rico School of Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Presbyterian Community Hospital Hospital, San Juan, PR, CCN 400001

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Mondocano Internal Medicine PSC

  • Internal Medicine Physician
  • San Juan, PR
  • NPI 1235543190
  Medicare reassignment Authorized official

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

• Presbyterian Community Hospital, Inc

  dba Ashford Presbyterian Community Hospital

  • General Acute Care Hospital
  • San Juan, PR
  • NPI 1770580813
  Care Compare affiliation

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559606400000",
    "number": "1285733691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1359 CALLE LUCHETTI",
            "address_2": "PH 1",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009072025",
            "telephone_number": "787-725-1603",
            "fax_number": "787-721-0439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 CALLE WASHINGTON",
            "address_2": "STE 802",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009071503",
            "telephone_number": "787-725-1603",
            "fax_number": "787-721-0439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERMUDEZ",
        "first_name": "RAFAEL",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2019-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "12053",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "PR",
            "license": "12053",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jadailine Bermudez Santos
• Ramon H Bermudez-del Valle, MD
• Lorianne Bermudez-Rivera
• Abdiel Bermudez
• Ana L Bermudez, MD
• Ricardo Andres Bermudez
• Sorangel Bermudez, PHARM.D.
• Thais Bermudez
• Joshua Nomar Bernabe Lopez, MD
• Rosa M Bernabe, MSW

• Internal Medicine Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Internal Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.