DR. RAFAEL ANGEL BENITEZ COLON NPI 1003018193

Exclusive Provider Organization in San Juan, PR

NPI 1003018193 Individual Male Exclusive Provider Organization

About RAFAEL BENITEZ COLON

Rafael Benitez Colon is a provider established in San Juan, Puerto Rico and his medical specialization is exclusive provider organization. The NPI number of Rafael Benitez Colon is 1003018193 and was assigned on June 2007. The practitioner's primary taxonomy code is 302F00000X with license number 15474 (PR). The provider is registered as an individual and his NPI record was last updated 14 years ago.

Rafael Benitez Colon is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1003018193

Provider NameDR. RAFAEL ANGEL BENITEZ COLON
Provider Location Address385 AVE DOMENECH HATO REY SAN JUAN, PR 00918
Provider Mailing Address1634 CALLE INDO SAN JUAN, PR 00926
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date06-01-2007
Last Update Date07-08-2007


Primary Taxonomy

Taxonomy Code302F00000X
ClassificationExclusive Provider Organization
TypeManaged Care Organizations
License No.15474
License StatePR
Taxonomy Description(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.

Business Address

DR. RAFAEL ANGEL BENITEZ COLON
385 AVE DOMENECH
HATO REY
SAN JUAN, PR
ZIP 00918
Phone: (787) 608-7322

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Mailing Address

DR. RAFAEL ANGEL BENITEZ COLON
1634 CALLE INDO
SAN JUAN, PR
ZIP 00926
Phone: (787) 608-7322
Fax: (787) 250-2181



Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1790759595DR. JOAQUIN ALBERTO REYES MD
Individual
Personal Emergency Response Attendant385 AVE DOMENECH
SAN JUAN, PR 00918
(787) 751-1110
1174901052 SOLMARIE RODRIGUEZ
Individual
Registered Nurse385 AVE DOMENECH
SAN JUAN, PR 00918
(787) 613-1544

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.