Individual provider Active NPI

Raul Eduardo O'Ferral, MD

  • General Practice Physician
  • San Juan, PR
National Provider Identifier
1851051932
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
23137 Issued in PR
Practice address
1138 Madreselva
Urb Mansiones de Rio Piedras
San Juan, PR 00926
Phone
(787) 501-1014
NPI assigned
Dec 30, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

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 23137 PR Primary

Addresses

Primary practice location

1138 Madreselva
Urb Mansiones de Rio Piedras
San Juan, PR 00926

Mailing address

1138 Madreselva
Urb Mansiones de Rio Piedras
San Juan, PR 00926
Phone (787) 501-1014

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
I20250626003894 PR Practitioner - General Practice 9638682362 Practice locations: Guaynabo, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23137PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
International Radiology Center & Medical Group, PSC PastSince Sep 1, 2018 Accepting new patients
PLG Breast Imaging Services, PSC PastSince Jan 31, 2020 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1640822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1851051932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1138 MADRESELVA",
            "address_2": "URB MANSIONES DE RIO PIEDRAS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-501-1014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1138 MADRESELVA",
            "address_2": "URB MANSIONES DE RIO PIEDRAS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-501-1014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'FERRAL",
        "first_name": "RAUL",
        "middle_name": "EDUARDO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-30",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "23137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.