Individual provider Active NPI

Rafael Tirado-Montijo, M.D.

  • Gastroenterology Physician
  • Manati, PR
National Provider Identifier
1285947127
Registry record updated Oct 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
20618 Issued in PR
Practice address
93 Paseo Atenas
Manati, PR 00674-5368
Phone
(787) 433-4818
NPI assigned
Jul 21, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20618 PR
Gastroenterology Physician 207RG0100X 20618 PR Primary

Addresses

Primary practice location

93 Paseo Atenas
Manati, PR 00674-5368

Mailing address

93 Paseo Atenas
Manati, PR 00674-5368
Phone (787) 433-4818

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
I20160505000654 PR Practitioner - GastroenterologyPractitioner - Internal Medicine 4880993393 Reassigns benefits to 1 organization
Practice locations: Manati, PR

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

93 Paseo Atenas
Manati, PR 00674-5368
Phone (787) 226-8142

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy205
Upper gastrointestinal (GI) endoscopy for acid reflux106

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20618PRMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atenas Psychiatry Group PSC CurrentSince Sep 3, 2016 Accepting new patients
Gastro Atenas LLC Gastroenterology CurrentSince Sep 3, 2016 Accepting new patients

Locations

93 Paseo Atenas
Manati, PR 00674
Phone (787) 226-8142

Interoperability endpoints

  • Direct secure messaging: rafael.tiradomontijo@3242.securemail.prognocis.com

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": "1279670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667001600000",
    "number": "1285947127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 PASEO ATENAS",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006745368",
            "telephone_number": "787-433-4818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 PASEO ATENAS",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006745368",
            "telephone_number": "787-433-4818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIRADO-MONTIJO",
        "first_name": "RAFAEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-21",
        "last_updated": "2022-10-29",
        "certification_date": "2022-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "20618",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PR",
            "license": "20618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manati, PR

Sources for this page

Verify at the official NPI Registry.