Rafael Ivan Coradin Ruiz, MD is a medicare enrolled "General Practice" physician in Gabucoa, Puerto Rico. His current practice location is
Ceutro Salud Ffanieliar De Gabucoa, Carretera 901, Gabucoa, Puerto Rico. You can reach out to his office (for appointments etc.) via phone at
(787) 893-0480.
Rafael Ivan Coradin Ruiz is licensed to practice in Puerto Rico (license number 10906) 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 1497797294.
Physician's Profile
| Full Name | Rafael Ivan Coradin Ruiz |
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| Gender | Male |
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| Speciality | General Practice |
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| Location | Ceutro Salud Ffanieliar De Gabucoa, Gabucoa, Puerto Rico |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1497797294
- Provider Enumeration Date: 06/13/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 6002824265
- Enrollment ID: I20060329000475
Medical Identifiers
Medical identifiers for Rafael Ivan Coradin Ruiz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1497797294 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208D00000X | General Practice | 10906 (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. Rafael Ivan Coradin Ruiz allows following entities to bill medicare on his behalf.
| Entity Name | Hospital Menonita De Cayey |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750317764
PECOS PAC ID: 2466449657
Enrollment ID: O20040429000135 |
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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. Rafael Ivan Coradin Ruiz 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 Address | Practice Location Address |
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Rafael Ivan Coradin Ruiz, MD
Calle Fernando De Rojas 2048, El Senorial,
Rio Piedras, PR 00926
Ph: (787) 266-4383 | Rafael Ivan Coradin Ruiz, MD
Ceutro Salud Ffanieliar De Gabucoa, Carretera 901,
Gabucoa, PR 00767
Ph: (787) 893-0480 |
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