Individual provider Active NPI

Ivan Rafael Figueroa Baez, MD

  • General Practice Physician
  • Cidra, PR
National Provider Identifier
1336860782
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
23528 Issued in PR
Practice address
Carr. #1 KM. 48.5
Bo. Beatriz
Cidra, PR 00739
Phone
(787) 908-4953
NPI assigned
Sep 5, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 23528 PR Primary
General Practice Physician 208D00000X 16045I PR
Student in an Organized Health Care Education/Training Program 390200000X 23582 PR

Addresses

Primary practice location

Carr. #1 KM. 48.5
Bo. Beatriz
Cidra, PR 00739

Mailing address

PO Box 281
Cidra, PR 00739-0281
Phone (787) 908-4953

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
I20251204002375 PR Practitioner - General Practice 9436642709 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

M35 Calle Wilson
Guaynabo, PR 00969-3950

PO Box
Suite 281
Cidra, PR 00739

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16045IPRMDGeneral Practice Physician
23528PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rejuva Wellness Clinic LLC CurrentSince Oct 9, 2025 Accepting new patients

Organizations & group practices 1

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": "1662336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1336860782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 281",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "007390281",
            "telephone_number": "787-908-4953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. #1 KM. 48.5",
            "address_2": "BO. BEATRIZ",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "00739",
            "telephone_number": "787-908-4953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIGUEROA BAEZ",
        "first_name": "IVAN",
        "middle_name": "RAFAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-05",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "23528",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "16045I",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PR",
            "license": "23582",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cidra, PR

Sources for this page

Verify at the official NPI Registry.