Dr Jose Rafael Pesquera-garcia, MD - Medicare Internal Medicine in Santurce, PR

Dr Jose Rafael Pesquera-garcia, MD is a medicare enrolled "Internal Medicine - Hematology & Oncology" physician in Santurce, Puerto Rico. He graduated from medical school in 1980 and has 44 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Pine Ridge Indian Health Service Hospital and his current practice location is Santurce Medical Mall Suite #309-310, Ave. Ponce De Leon 1801, Santurce, Puerto Rico. You can reach out to his office (for appointments etc.) via phone at (787) 728-1193.

Dr Jose Rafael Pesquera-garcia is licensed to practice in Puerto Rico (license number 7279) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1598788408.

Contact Information

Dr Jose Rafael Pesquera-garcia, MD
Santurce Medical Mall Suite #309-310, Ave. Ponce De Leon 1801,
Santurce, PR 00909
(787) 728-1193
(787) 726-4244

Map and Direction




Physician's Profile

Full NameDr Jose Rafael Pesquera-garcia
GenderMale
SpecialityInternal Medicine
Experience44 Years
LocationSanturce Medical Mall Suite #309-310, Santurce, Puerto Rico
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Jose Rafael Pesquera-garcia graduated from medical school in 1980
  NPI Data:
  • NPI Number: 1598788408
  • Provider Enumeration Date: 07/25/2006
  • Last Update Date: 12/24/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 4981500584
  • Enrollment ID: I20170921003242

Medical Identifiers

Medical identifiers for Dr Jose Rafael Pesquera-garcia such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598788408NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RH0003XInternal Medicine - Hematology & Oncology 7279 (Puerto Rico)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Pine Ridge Indian Health Service Hospital468857132688

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Jose Rafael Pesquera-garcia allows following entities to bill medicare on his behalf.
Entity NamePine Ridge Indian Health Service Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497786412
PECOS PAC ID: 4688571326
Enrollment ID: O20031218000966

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jose Rafael Pesquera-garcia is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Jose Rafael Pesquera-garcia, MD
Po Box 19921,
San Juan, PR 00910

Ph: (787) 728-1193
Dr Jose Rafael Pesquera-garcia, MD
Santurce Medical Mall Suite #309-310, Ave. Ponce De Leon 1801,
Santurce, PR 00909

Ph: (787) 728-1193

Reviews and Comments


Internal Medicine Doctors in Santurce, PR

Dr. Edwin E Pagan Lopez, M.D.
Hematology & Oncology
Medicare: Medicare Enrolled
Practice Location: 803 Ave Hipodromo, Santurce, PR 00909
Phone: 787-724-3734    Fax: 787-724-1322
Mr. Jose A Marques Bibiloni Sr., MD
Hematology & Oncology
Medicare: Not Enrolled in Medicare
Practice Location: Manuel Pavia Fernandez 655 4th Piso, Santurce, PR 00909
Phone: 787-728-2479    Fax: 787-786-7447
Dr. Jaime Martinez-souss, M.D.
Hematology & Oncology
Medicare: Medicare Enrolled
Practice Location: 328 De Diego Ave, Suite 202 Ponce De Leon Ave., Santurce, PR 00909
Phone: 787-723-9025    Fax: 787-722-1987
Dr. Carlos Ruben Diaz, MD
Hematology & Oncology
Medicare: Accepting Medicare Assignments
Practice Location: 1449 Calle Americo Salas, Edificio Pavia Ii, Suite 102, Santurce, PR 00909
Phone: 787-721-0525    Fax: 787-722-1225
Dr. Wanda Ramos, MD
Hematology & Oncology
Medicare: Medicare Enrolled
Practice Location: 359 Ave De Diego 501, Santurce, PR 00909
Phone: 787-722-0445    Fax: 787-723-4415
Dr. Jose R Nadal, MD
Hematology & Oncology
Medicare: Accepting Medicare Assignments
Practice Location: 1400 Calle San Rafael, Suite 201, Santurce, PR 00909
Phone: 787-721-6626    Fax: 787-725-1287
Dr. Maria E. Narvaez Rivera,
Hematology & Oncology
Medicare: Accepting Medicare Assignments
Practice Location: 1801 Ave Ponce De Leon, Santurce Medical Mall Suite 206, Santurce, PR 00909
Phone: 787-268-4333    Fax: 787-728-4163

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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