Active NPI
Rafael A Queipo, MD
- Internal Medicine Physician
- San Juan, PR
National Provider Identifier
1730239112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 12884
- Practice address
- 380 Calle Antolin Nin
Urb Roosevelt
San Juan, PR 00918-2339 - Phone
- (787) 209-9150
- NPI assigned
- Jan 10, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 12884 | PR | Primary |
Addresses
Primary practice location
380 Calle Antolin Nin
Urb Roosevelt
San Juan, PR 00918-2339
Mailing address
380 Calle Antolin Nin
Urb Roosevelt
San Juan, PR 00918-2339
Phone (787) 209-9150
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12884 | PR | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360195200000",
"number": "1730239112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "380 CALLE ANTOLIN NIN",
"address_2": "URB ROOSEVELT",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009182339",
"telephone_number": "787-209-9150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "380 CALLE ANTOLIN NIN",
"address_2": "URB ROOSEVELT",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009182339",
"telephone_number": "787-209-9150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUEIPO",
"first_name": "RAFAEL",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-10",
"last_updated": "2013-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PR",
"license": "12884",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.