Rafael Jose Ortiz Bouyett, M.D.

Individual provider Active NPI General Practice Physician · Bayamon, PR

NPI 1649705245 · NPPES record last updated Apr 16, 2024

Key facts

NPI
1649705245
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Physician 208D00000X
License
21014 (PR)
Practice address
Multimed Clinic PR
Edif. Medico Santa Cruz #73 Suite 408
Bayamon, PR 00961-6910
Phone
(787) 780-8444
NPI assigned
Apr 21, 2017
Sex
Male
Sole proprietor
No

Organizations & group practices 4

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.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20190516002952 PR Practitioner - General Practice 0648513580 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
21014PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrate Community Health System Current
since Feb 1, 2021
Accepting new patients
Integrate Community Health System, Inc. Current
since Feb 1, 2021
Accepting new patients
Care Clinic LLC General Practice Current
since Jun 22, 2025
Accepting new patients
Integrate Community Health System Current Accepting new patients

Locations

73 Calle Santa Cruz
Ste 408
Bayamon, PR 00961
Phone (787) 740-3350

426 Calle Agueybana
San Juan, PR 00918
Phone (787) 238-5801

267 Calle Sierra Morena
San Juan, PR 00926
Phone (787) 616-8557

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 21014 PR Yes

Addresses

Primary practice location

Multimed Clinic PR
Edif. Medico Santa Cruz #73 Suite 408
Bayamon, PR 00961-6910

Mailing address

Villas del Pilar B7 Calle 1
San Juan, PR 00926-5447
Phone (787) 923-7559

Other providers in Bayamon, PR

All providers in Bayamon, PR · General Practice Physician in Puerto Rico

Sources for this page

Verify at the official NPI Registry.