Individual provider Active NPI

Rafael Y Encarnacion Cohen

  • General Practice Physician
  • Santa Isabel, PR
National Provider Identifier
1497400691
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
22901 Issued in PR
Practice address
Calle Hostos #3, Santa Isabel , P.R. 00757
Santa Isabel, PR 00757
Phone
(787) 845-4040
NPI assigned
Feb 16, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

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 22901 PR Primary

Addresses

Primary practice location

Calle Hostos #3, Santa Isabel , P.R. 00757
Santa Isabel, PR 00757

Mailing address

Urb River GDNS
331 Calle Flor de Nacar
Canovanas, PR 00729-3372
Phone (787) 342-6566

Other practice location 1

Hospital HIMA SAN PABLO Fajardo
404 General Valero
Fajardo, PR 00738
Phone (787) 655-0505

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
I20230522003485 PR Practitioner - General Practice 2860877826 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Canovanas Medical Center CSP CurrentSince Jan 28, 2023 Accepting new patients

Organizations & group practices 1

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": "1644969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1497400691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB RIVER GDNS",
            "address_2": "331 CALLE FLOR DE NACAR",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "007293372",
            "telephone_number": "787-342-6566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE HOSTOS #3, SANTA ISABEL , P.R. 00757",
            "city": "SANTA ISABEL",
            "state": "PR",
            "postal_code": "00757",
            "telephone_number": "787-845-4040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Hospital HIMA SAN PABLO Fajardo",
            "address_2": "404 General Valero",
            "address_purpose": "LOCATION",
            "city": "Fajardo",
            "state": "PR",
            "postal_code": "00738",
            "country_code": "US",
            "telephone_number": "787-655-0505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENCARNACION COHEN",
        "first_name": "RAFAEL",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-16",
        "last_updated": "2022-09-06",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Isabel, PR

Sources for this page

Verify at the official NPI Registry.