Dr Rafael Omar Rodriguez Jr, MD - Medicare General Practice in San Juan, PR

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Dr Rafael Omar Rodriguez Jr, MD is a medicare enrolled "General Practice" physician in San Juan, Puerto Rico. His current practice location is 1115 Calle 40 Se, San Juan, Puerto Rico. You can reach out to his office (for appointments etc.) via phone at (787) 918-0621.

Dr Rafael Omar Rodriguez Jr is licensed to practice in Puerto Rico (license number 21213) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1790240521.

Contact Information

Dr Rafael Omar Rodriguez Jr, MD
1115 Calle 40 Se,
San Juan, PR 00921-2745
(787) 918-0621
Not Available

Map and Direction




Physician's Profile

Full NameDr Rafael Omar Rodriguez Jr
GenderMale
SpecialityGeneral Practice
Location1115 Calle 40 Se, San Juan, Puerto Rico
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1790240521
  • Provider Enumeration Date: 02/06/2019
  • Last Update Date: 02/06/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 3375976343
  • Enrollment ID: I20191204002885

Medical Identifiers

Medical identifiers for Dr Rafael Omar Rodriguez Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790240521NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 21213 (Puerto Rico)Primary

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 Rafael Omar Rodriguez Jr allows following entities to bill medicare on his behalf.
Entity NameMetro Pavia Healthcare Centers Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760723696
PECOS PAC ID: 8022232271
Enrollment ID: O20160630000203
Entity NameMetro Toa Baja Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073057642
PECOS PAC ID: 0446510382
Enrollment ID: O20180214000628
Entity NameInstituto De Medicina Preventiva Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508367772
PECOS PAC ID: 4587911524
Enrollment ID: O20180720002311

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 Rafael Omar Rodriguez Jr 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 Rafael Omar Rodriguez Jr, MD
Po Box 2710,
Vega Baja, PR 00694-2710

Ph: () -		Dr Rafael Omar Rodriguez Jr, MD
1115 Calle 40 Se,
San Juan, PR 00921-2745

Ph: (787) 918-0621

Reviews and Comments


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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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