Active NPI
Raul Eduardo O'Ferral, MD
- General Practice Physician
- San Juan, PR
National Provider Identifier
1851051932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 23137
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 23137 | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| International Radiology Center & Medical Group, PSC | Past | Accepting new patients | |
| PLG Breast Imaging Services, PSC | Past | 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.
-
- Specialist
- Guaynabo, PR
- NPI 1770750317
-
- Diagnostic Radiology Physician
- San Juan, PR
- NPI 1952884702
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; 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.