Individual provider Active NPI

Rafael Jose Justiniano, M.D.

  • General Practice Physician
  • Mayaguez, PR
National Provider Identifier
1619208089
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
17674 Issued in PR
Practice address
351 Ave Hostos Edificio Medical Emporium 1
Suite 110
Mayaguez, PR 00680-1502
Phone
(787) 834-7740
Fax
(787) 652-4525
NPI assigned
Jan 24, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

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 17674 PR Primary

Addresses

Primary practice location

351 Ave Hostos Edificio Medical Emporium 1
Suite 110
Mayaguez, PR 00680-1502

Mailing address

PO Box 3149
Marina Station
Mayaguez, PR 00681-3149
Phone (787) 834-7740

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
I20131127001519 PR Practitioner - General Practice 0547496358 Reassigns benefits to 1 organization
Practice locations: Mayaguez, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Servicios Quirurgicos del Caribe, PSCGroup PAC ID 3577786524, 4 clinicians

Practice addresses (Care Compare)

Ave Hostos 351 Medical Emporium
1 Suite 110
Mayaguez, PR 00680-1502
Phone (787) 834-7740

Ave Hostos 351 Medical Emporium I
Suite 110
Mayaguez, PR 00680-1502

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Servicios Quirurgicos del Caribe, P.S.C CurrentSince Apr 21, 2025 Accepting new patients

Locations

351 Ave Hostos
Ste 110
Mayaguez, PR 00680
Phone (787) 805-2041

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": "1264291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769385600000",
    "number": "1619208089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3149",
            "address_2": "MARINA STATION",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006813149",
            "telephone_number": "787-834-7740",
            "fax_number": "787-652-4525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 AVE HOSTOS EDIFICIO MEDICAL EMPORIUM 1",
            "address_2": "SUITE 110",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006801502",
            "telephone_number": "787-834-7740",
            "fax_number": "787-652-4525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUSTINIANO",
        "first_name": "RAFAEL",
        "middle_name": "JOSE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-24",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

Verify at the official NPI Registry.