Rafael E Paz Jr.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

21904 Issued in PR

Practice address

Car 129, Intersection 490
Arecibo, PR 00612

Phone

(787) 880-3843

Fax

(787) 880-3843

NPI assigned

Jun 11, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Locations

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.

• Dr Rafael Paz LLC

  • General Practice Physician
  • Utuado, PR
  • NPI 1588423941
  NPD Authorized official

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

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1740805191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 86",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "006590086",
            "telephone_number": "787-880-3843",
            "fax_number": "787-880-3843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CAR 129, INTERSECTION 490",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "00612",
            "telephone_number": "787-880-3843",
            "fax_number": "787-880-3843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAZ",
        "first_name": "RAFAEL",
        "middle_name": "E",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-11",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "21904",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15108-I",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21904",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniela Pagan, LCDA.
• Diana N Pagan, CPHT
• Grace Janice Pagan, DMD
• Emily Pantojas-Laza, PSY. D.
• Luis Paraliticci Morales, M.D.
• Pediatric Dental Clinic Dra. Yadira Garcia Sotomayor, P.S.C.
• Pediatrix Medical Group of Puerto Rico, P.S.C
• Juan C Peraza Delgado, MD
• Juan J Peraza, DMD
• Nydia E Perdomo-Olmo, MSW, ACSW

• General Practice Physician in Arecibo, PR
• Providers in Arecibo, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; 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.