Individual provider Active NPI

Rafaelito B. Santos Tejeda, M.D.

  • General Practice Physician
  • Arecibo, PR
National Provider Identifier
1487795563
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
11902 Issued in PR
Practice address
152 Calle Heraclio Ramos
Arecibo, PR 00612-4633
Phone
(787) 650-3140
Fax
(787) 650-3140
NPI assigned
Feb 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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 11902 PR Primary

Addresses

Primary practice location

152 Calle Heraclio Ramos
Arecibo, PR 00612-4633

Mailing address

PO Box 69001
PMB 243
Hatillo, PR 00659-6901
Phone (939) 397-7559

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
I20241209000612 PR Practitioner - General Practice 4486188802 Practice locations: Arecibo, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11902PRMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1487795563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 69001",
            "address_2": "PMB 243",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "006596901",
            "telephone_number": "939-397-7559",
            "fax_number": "787-650-3140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 CALLE HERACLIO RAMOS",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006124633",
            "telephone_number": "787-650-3140",
            "fax_number": "787-650-3140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS TEJEDA",
        "first_name": "RAFAELITO",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-09",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "11902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arecibo, PR

Sources for this page

Verify at the official NPI Registry.