NPIMap

Individual provider Active NPI

Jose Rafael Pesquera-Garcia, M.D.

  • Hematology & Oncology Physician
  • Santurce, PR
National Provider Identifier
1598788408
Registry record updated Dec 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
7279 Issued in PR
Practice address
Santurce Medical Mall Suite #309-310
Ave. Ponce de Leon 1801
Santurce, PR 00909
Phone
(787) 728-1193
Fax
(787) 726-4244
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 7279 PR Primary

Addresses

Primary practice location

Santurce Medical Mall Suite #309-310
Ave. Ponce de Leon 1801
Santurce, PR 00909

Mailing address

PO Box 19921
San Juan, PR 00910
Phone (787) 728-1193

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120725000132 PR Practitioner - Hematology/OncologyPractitioner - Internal Medicine 4981500584 Reassigns benefits to 3 organizations
Practice locations: Santurce, PR
I20170921003242 TX Practitioner - Internal Medicine 4981500584 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

East Hwy 18
Pine Ridge, SD 57770-1201
Phone (605) 867-3032

P O Box
Suite 1201
Pine Ridge, SD 57770-1201

P O Box 1201 E Hwy 18
Pine Ridge, SD 57770-1201

PO Box 1201 E Hwy 18
Pine Ridge, SD 57770-1201

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.38 of 100Reported as group
Quality
80.82
Promoting interoperability
91
Improvement activities
40
Cost
84.44

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Med PSC CurrentSince Nov 19, 2022 Accepting new patients
Mennonite General Hospital Inc Current Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Aug 8, 2017 Accepting new patients
Mennonite General Hospital Inc. CurrentSince May 1, 2020 Accepting new patients
Mennonite General Hospital Inc CurrentSince May 1, 2020 Accepting new patients
Pine Ridge Indian Health Service Hospital Current Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Aug 8, 2017 Accepting new patients
Grupo Medico San Carlos Past Accepting new patients
Centro Quimoterapeutico del Caribe Past Accepting new patients

Locations

1519 Ave Ponce de Leon
Ste 302
San Juan, PR 00909
Phone (787) 725-8101

Organizations & group practices 10

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 5

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230076800000",
    "number": "1598788408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19921",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00910",
            "telephone_number": "787-728-1193",
            "fax_number": "787-726-4244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SANTURCE MEDICAL MALL SUITE #309-310",
            "address_2": "AVE. PONCE DE LEON 1801",
            "city": "SANTURCE",
            "state": "PR",
            "postal_code": "00909",
            "telephone_number": "787-728-1193",
            "fax_number": "787-726-4244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PESQUERA-GARCIA",
        "first_name": "JOSE",
        "middle_name": "RAFAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2008-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "PR",
            "license": "7279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santurce, PR

Sources for this page

Verify at the official NPI Registry.