Individual provider Active NPI

Rafael Espinet Perez, M.D.

  • Internal Medicine Physician
  • Ponce, PR
National Provider Identifier
1487845780
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
16772 Issued in PR
Practice address
2864 Calle Hibiscus
Urb Villa Flores
Ponce, PR 00716-2914
Phone
(787) 841-2878
Fax
(787) 841-2888
NPI assigned
Aug 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 16772 PR Primary

Addresses

Primary practice location

2864 Calle Hibiscus
Urb Villa Flores
Ponce, PR 00716-2914

Mailing address

Hibiscus 2864
Urb Villa Flores
Ponce, PR 00716
Phone (787) 841-2878

Other identifiers 1

IdentifierTypeStateIssuer
0028628OtherPRPR LICENSE

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
I20080909000483 PR Practitioner - Internal Medicine 0941376347 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
R.E.P Medical Serv, CSPGroup PAC ID 4486893260, 3 clinicians

Practice addresses (Care Compare)

2864 Calle Hibiscus
Ponce, PR 00716-2914
Phone (787) 841-2878

Hospital & facility affiliations

  • Hospital Episcopal San Lucas II Hospital, Ponce, PR, CCN 400044

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16772PRMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Img Services CSP Internal Medicine Current Accepting new patients
R.E.P Medical Serv, CSP Internal Medicine CurrentSince Apr 26, 2013 Accepting new patients
Saint Lukes Memorial Hospital Inc Past Accepting new patients

Locations

2864 Calle Hibiscus
Ponce, PR 00716
Phone (787) 651-7076

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1487845780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HIBISCUS 2864",
            "address_2": "URB VILLA FLORES",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00716",
            "telephone_number": "787-841-2878",
            "fax_number": "787-841-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2864 CALLE HIBISCUS",
            "address_2": "URB VILLA FLORES",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007162914",
            "telephone_number": "787-841-2878",
            "fax_number": "787-841-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPINET PEREZ",
        "first_name": "RAFAEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-05",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "16772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PR LICENSE",
            "identifier": "0028628",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.