Individual provider Active NPI

Rafael Baez, M.D.

  • General Practice Physician
  • Cidra, PR
National Provider Identifier
1386846269
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
14,654 Issued in PR
Practice address
State Road 787
KM 1.5, Bayamon Ward
Cidra, PR 00739-1400
Phone
(787) 739-5555
Fax
(787) 739-5544
NPI assigned
Jun 4, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 14,654 PR Primary

Addresses

Primary practice location

State Road 787
KM 1.5, Bayamon Ward
Cidra, PR 00739-1400

Mailing address

State Road 787
KM 1.5, Bayamon Ward
Cidra, PR 00739-1400
Phone (787) 739-5555

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
I20200319001326 PR Practitioner - General Practice 2466880711 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PR Healthcare Management GroupGroup PAC ID 5294975793, 8 clinicians

Practice addresses (Care Compare)

Carr 31 KM
Suite 0
Naguabo, PR 00718
Phone (787) 874-3152

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
014654PRMDPharmacy Technician
14,654PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
PR Healthcare Management Group CurrentSince Jan 11, 2020 Accepting new patients
PR Healthcare Management Group CurrentSince Jan 11, 2020 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": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386846269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "STATE ROAD 787",
            "address_2": "KM 1.5, BAYAMON WARD",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "007391400",
            "telephone_number": "787-739-5555",
            "fax_number": "787-739-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STATE ROAD 787",
            "address_2": "KM 1.5, BAYAMON WARD",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "007391400",
            "telephone_number": "787-739-5555",
            "fax_number": "787-739-5544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAEZ",
        "first_name": "RAFAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "14,654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cidra, PR

Sources for this page

Verify at the official NPI Registry.