Rafael Feliz Lebreault, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4823 Issued in PR

Practice address

Carr. Num. 2 KM 39.5
Suite 110
Vega Baja, PR 00693

Phone

(787) 855-1385

Fax

(787) 807-8912

NPI assigned

Jul 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 12

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Ravibel Inc

  • Internal Medicine Physician
  • Vega Baja, PR
  • NPI 1336342245
  NPD (past) Authorized official

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1609800143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4615",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006944615",
            "telephone_number": "787-855-1385",
            "fax_number": "787-807-8912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. NUM. 2 KM 39.5",
            "address_2": "SUITE 110",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "00693",
            "telephone_number": "787-855-1385",
            "fax_number": "787-807-8912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELIZ LEBREAULT",
        "first_name": "RAFAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "4823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE MUCHO MAS  ID#",
            "identifier": "100197",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UTI",
            "identifier": "212176",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSS OF PUERTO RICO",
            "identifier": "25874",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE  OPTIMO ID#",
            "identifier": "25874",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COSVI PROVIDER ID",
            "identifier": "4823",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEFERRED MEDICARE CHOICE",
            "identifier": "1661",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IMC PROVIDER ID",
            "identifier": "4823",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA PORVIDER ID",
            "identifier": "6430019",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL DE PUERTO RICO",
            "identifier": "063664",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AAMPR PROVIDER ID",
            "identifier": "29825",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN HEALTH PLAN",
            "identifier": "3387",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UIA",
            "identifier": "4304823",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Farmacia Glamar
• Farmacia Jardines de Vega Baja, Inc.
• Farmacia Rodriguez
• Farmacia San Miguel
• Farmacia Villa Real
• Victor A Feliz
• Jorge F Feria, M.D.
• Daisy Fernandez Velazquez, MTS
• Yuitza Fernandez
• Robert Andrew Ferrer Macias

• Internal Medicine Physician in Vega Baja, PR
• Providers in Vega Baja, PR by specialty
• Internal Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.