Individual provider Active NPI

Rafael J Lopez Baquero, MD

  • Clinical Neurophysiology Physician
  • Cayey, PR
National Provider Identifier
1548592744
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X
License
18884 Issued in PR
Practice address
Centro Medico Menonita Cayey
Edif Professional Suite 307
Cayey, PR 00736
Phone
(787) 692-9899
Fax
(787) 766-3219
NPI assigned
Feb 12, 2010
Last updated
Dec 29, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 18884 PR
Clinical Neurophysiology Physician 2084N0600X 18884 PR Primary
Epilepsy Physician 2084E0001X 18884 PR

Addresses

Primary practice location

Centro Medico Menonita Cayey
Edif Professional Suite 307
Cayey, PR 00736

Mailing address

PO Box 370330
Cayey, PR 00737-0330
Phone (787) 767-2248

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
I20150129001806 PR Practitioner - NeurologyPractitioner - Other (Physician) 5395969893 Reassigns benefits to 2 organizations
Practice locations: Caguas, PR; Cayey, PR; San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Puerto Rico School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Recinto de Ciencias MedicasGroup PAC ID 3678469962, 246 clinicians

Practice addresses (Care Compare)

Ave Americo Miranda
Centro Comercia Reparto Metropolitano Suite
Rio Piedras, PR 00921
Phone (787) 758-7910

Bo Monacillos
Centro Medico de Puerto Rico
San Juan, PR 00921
Phone (787) 754-0101

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18884PRMDEpilepsy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas Neurology CurrentSince Dec 30, 2020 Accepting new patients
Recinto de Ciencias Medicas Current Accepting new patients
Centro Medico del Turabo Inc General Practice CurrentSince Jul 13, 2015 Accepting new patients
Centro Medico del Turabo Inc CurrentSince Jul 13, 2015 Accepting new patients
Hospital Menonita Caguas Inc Past Accepting new patients

Locations

100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261

Organizations & group practices 5

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": "1265932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1548592744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370330",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007370330",
            "telephone_number": "787-767-2248",
            "fax_number": "787-766-3219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTRO MEDICO MENONITA CAYEY",
            "address_2": "EDIF PROFESSIONAL SUITE 307",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "00736",
            "telephone_number": "787-692-9899",
            "fax_number": "787-766-3219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ BAQUERO",
        "first_name": "RAFAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-12",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PR",
            "license": "18884",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "PR",
            "license": "18884",
            "primary": true
        },
        {
            "code": "2084E0001X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Epilepsy",
            "state": "PR",
            "license": "18884",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cayey, PR

Sources for this page

Verify at the official NPI Registry.