Individual provider Active NPI

Rafael A Rodriguez Nazario, MD

  • General Practice Physician
  • Morovis, PR
National Provider Identifier
1801977947
Registry record updated Jan 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
16023 Issued in PR
Practice address
15 Calle Comercio
Morovis, PR 00687
Phone
(787) 862-4030
Fax
(787) 862-1187
NPI assigned
Oct 17, 2006
Last updated
Jan 28, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2024

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 16023 PR Primary

Addresses

Primary practice location

15 Calle Comercio
Morovis, PR 00687

Mailing address

PO Box 368
Dorado, PR 00646-0368

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
I20051118000453 PR Practitioner - General Practice 4587683560 Practice locations: Morovis, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
San Juan Bautista School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15 Calle Comercio
Morovis, PR 00687-3066
Phone (787) 862-4030

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16023PRMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706400000000",
    "number": "1801977947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 368",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006460368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 CALLE COMERCIO",
            "city": "MOROVIS",
            "state": "PR",
            "postal_code": "00687",
            "telephone_number": "787-862-4030",
            "fax_number": "787-862-1187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ NAZARIO",
        "first_name": "RAFAEL",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2024-01-28",
        "certification_date": "2024-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "16023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morovis, PR

Sources for this page

Verify at the official NPI Registry.