Individual provider Active NPI

Rafael A. Taboas, M.D.

  • Ophthalmology Physician
  • San Juan, PR
National Provider Identifier
1467415653
Registry record updated Mar 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
8103 Issued in PR
Practice address
525 Ave FD Roosevelt
Torre de Plaza ; Suite 705
San Juan, PR 00918-8001
Phone
(787) 767-0599
Fax
(787) 756-0774
NPI assigned
Apr 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 8103 PR Primary

Addresses

Primary practice location

525 Ave FD Roosevelt
Torre de Plaza ; Suite 705
San Juan, PR 00918-8001

Mailing address

525 Ave FD Roosevelt
Torre de Plaza ; Suite 705
San Juan, PR 00918-8001
Phone (787) 767-0599

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
I20100626000334 PR Practitioner - Ophthalmology 1355472903 Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Puerto Rico School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

525 F D Roosevelt Ave
Torre de Plaza Ste. 705
San Juan, PR 00918-8057

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery383

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8103PRMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Plaza Refractive Laser Center, Inc. Ophthalmology Past Accepting new patients
Ulloa Oculoplastic Surgery LLC Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204588800000",
    "number": "1467415653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 AVE FD ROOSEVELT",
            "address_2": "TORRE DE PLAZA ; SUITE 705",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009188001",
            "telephone_number": "787-767-0599",
            "fax_number": "787-756-0774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 AVE FD ROOSEVELT",
            "address_2": "TORRE DE PLAZA ; SUITE 705",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009188001",
            "telephone_number": "787-767-0599",
            "fax_number": "787-756-0774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABOAS",
        "first_name": "RAFAEL",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-09",
        "last_updated": "2008-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PR",
            "license": "8103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.