Individual provider Active NPI

Rafael A. Aquino-Hernandez, M.D

  • General Practice Physician
  • Anasco, PR
National Provider Identifier
1720055684
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
014980 Issued in PR
Practice address
36 Calle 65 Infanteria
Anasco, PR 00610-2902
Phone
(787) 934-8737
Fax
(787) 826-5251
NPI assigned
Feb 28, 2006
Last updated
May 9, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2025

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 014980 PR Primary

Addresses

Primary practice location

36 Calle 65 Infanteria
Anasco, PR 00610-2902

Mailing address

36 Calle 65 Infanteria
Anasco, PR 00610-2902
Phone (787) 934-8737

Other names 1

  • Dr. Rafael A Aquino-Hernandez Professional name

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
I20031105000453 PR Practitioner - General Practice 5799697967 Practice locations: Anasco, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
014980PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rafael Aquino Hernandez LLC General Practice CurrentSince Aug 4, 2024 Accepting new patients
Serv Emerg del Noroeste Past Accepting new patients

Locations

36 Calle 65 Infanteria
Anasco, PR 00610
Phone (787) 826-1228

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746748800000",
    "number": "1720055684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 CALLE 65 INFANTERIA",
            "city": "ANASCO",
            "state": "PR",
            "postal_code": "006102902",
            "telephone_number": "787-934-8737",
            "fax_number": "787-826-5251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 CALLE 65 INFANTERIA",
            "city": "ANASCO",
            "state": "PR",
            "postal_code": "006102902",
            "telephone_number": "787-934-8737",
            "fax_number": "787-826-5251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AQUINO-HERNANDEZ",
        "first_name": "RAFAEL",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "014980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAFAEL",
            "last_name": "AQUINO-HERNANDEZ",
            "middle_name": "A",
            "prefix": "DR.",
            "credential": "M.D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Anasco, PR

Sources for this page

Verify at the official NPI Registry.