Rafael A Rodriguez Nazario, MD

Individual provider Active NPI General Practice Physician · Morovis, PR

NPI 1801977947 · NPPES record last updated Jan 28, 2024

Key facts

NPI
1801977947
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Physician 208D00000X
License
16023 (PR)
Practice address
15 Calle Comercio
Morovis, PR 00687
Phone
(787) 862-4030
Fax
(787) 862-1187
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
Yes

Medicare Care Compare profile

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

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

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
16023PRMDGeneral Practice Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 16023 PR Yes

Addresses

Primary practice location

15 Calle Comercio
Morovis, PR 00687

Mailing address

PO Box 368
Dorado, PR 00646-0368

Other providers in Morovis, PR

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

Sources for this page

Verify at the official NPI Registry.