Individual provider Active NPI

Rafael Bouet Blasini, M.D.

  • Urology Physician
  • San Juan, PR
National Provider Identifier
1477754265
Registry record updated Mar 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
15374 Issued in PR
Practice address
Carr. 21 T3-8
Urb. Las Lomas
San Juan, PR 00921
Phone
(787) 781-1265
Fax
(787) 781-3131
NPI assigned
May 30, 2007
Last updated
Mar 15, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 15374 PR Primary

Addresses

Primary practice location

Carr. 21 T3-8
Urb. Las Lomas
San Juan, PR 00921

Mailing address

PO Box 362432
San Juan, PR 00936-2432
Phone (787) 510-6893

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
I20101025000920 PR Practitioner - Urology 6507059359 Reassigns benefits to 2 organizations
Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University Central del Caribe Escuela de Medicina, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Puerto Rico Metropolitan Urology LLCGroup PAC ID 9830374586, 2 clinicians

Practice addresses (Care Compare)

Urb Las
8 Carr 21
San Juan, PR 00921-3312
Phone (787) 763-7272

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection14

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Hub LLC Urology CurrentSince Mar 1, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rblasini@821.securemail.prognocis.com

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300147200000",
    "number": "1477754265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 362432",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009362432",
            "telephone_number": "787-510-6893",
            "fax_number": "787-781-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 21 T3-8",
            "address_2": "URB. LAS LOMAS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00921",
            "telephone_number": "787-781-1265",
            "fax_number": "787-781-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUET BLASINI",
        "first_name": "RAFAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-30",
        "last_updated": "2011-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PR",
            "license": "15374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.