Individual provider Active NPI

Rafael Miguel Vaquer, M.D.

  • Physical Medicine & Rehabilitation Physician
  • San Juan, PR
National Provider Identifier
1316492796
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
21219 Issued in PR
Practice address
100 Grand Paseo Blvd
PMB 137 Ste. 112
San Juan, PR 00926-5905
Phone
(787) 955-0828
NPI assigned
Aug 16, 2016
Last updated
Jun 7, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X PR
Physical Medicine & Rehabilitation Physician 208100000X 21219 PR Primary

Addresses

Primary practice location

100 Grand Paseo Blvd
PMB 137 Ste. 112
San Juan, PR 00926-5905

Mailing address

100 Gran Boulevard Los Paseos Ste 112
PMB 137
San Juan, PR 00926-5595

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
I20230202003386 PR Practitioner - Physical Medicine and Rehabilitation 1153793039 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University Central del Caribe Escuela de Medicina, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CG Specialized Medical ServicesGroup PAC ID 5597820282, 5 clinicians

Practice addresses (Care Compare)

126 Ave Jose de Diego
Sein Medical Plaza Suite 2
San Juan, PR 00921-3043
Phone (787) 208-2366

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21219PRMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CG Specialized Medical Services CurrentSince Jan 24, 2023 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1471305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1316492796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GRAN BOULEVARD LOS PASEOS STE 112",
            "address_2": "PMB 137",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009265595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GRAND PASEO BLVD",
            "address_2": "PMB 137 STE. 112",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009265905",
            "telephone_number": "787-955-0828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAQUER",
        "first_name": "RAFAEL",
        "middle_name": "MIGUEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-16",
        "last_updated": "2022-06-07",
        "certification_date": "2022-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PR",
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PR",
            "license": "21219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.