Active NPI
Rafael Jose Albandoz Jr., MD
- Gynecology Physician
- San Juan, PR
National Provider Identifier
1316938194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 6414
- Practice address
- 110 Calle Georgetti
San Juan, PR 00925-3505 - Phone
- (787) 764-1830
- Fax
- (787) 767-7741
- NPI assigned
- Nov 2, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 6414 | PR | Primary |
Addresses
Primary practice location
110 Calle Georgetti
San Juan, PR 00925-3505
Mailing address
26 Calle 1
Villa Los Olmos
San Juan, PR 00927-4605
Phone (787) 764-6267
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 068094 | Other | CRUZ AXUL | |
| 2849 | Other | AMERICAN HEALTH | |
| 26414 | Other | CIGNA | |
| 2992 | Other | IMC | |
| PC0542 | Other | PALIC | |
| 2 7818 | Other | SSS | |
| 26414 | Other | MCS | |
| 9280027 | Other | HUMANA | |
| 3706414 | Other | UIA | |
| 209071 | Other | UTI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6414 | PR | MD | Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349049600000",
"number": "1316938194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 CALLE 1",
"address_2": "VILLA LOS OLMOS",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009274605",
"telephone_number": "787-764-6267",
"fax_number": "787-764-6267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 CALLE GEORGETTI",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009253505",
"telephone_number": "787-764-1830",
"fax_number": "787-767-7741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALBANDOZ",
"first_name": "RAFAEL",
"middle_name": "JOSE",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-02",
"last_updated": "2012-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "PR",
"license": "6414",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRUZ AXUL",
"identifier": "068094",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN HEALTH",
"identifier": "2849",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "26414",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IMC",
"identifier": "2992",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALIC",
"identifier": "PC0542",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SSS",
"identifier": "2 7818",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCS",
"identifier": "26414",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "9280027",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UIA",
"identifier": "3706414",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UTI",
"identifier": "209071",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
- Kirelis Paoly Alamo Hidalgo
- Jose E Alamo, D.M.D.
- Milagros Alamo, RN
- Zindy Ivelys Alamo, RN BSN
- Alan Torres Vargas MD PSC (Alan Torres)
- Marelisa Albelo Martinez, MD
- Alberto M Varela, MD & Asoc
- Alberto T Lopez (Quimioterapia Ambulatoria Dr. Alberto Lopez)
- Ricardo Andres Albino Camacho
- Sylvia Yanira Albino Ortiz, PSY.D
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.