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DR. RAFAEL MATOS M.D.
NPI 1043247893
Internal Medicine in Mayaguez, PR

Active since June 27, 2006PECOS EnrolledAccepts Medicare Assignment
59B CALLE MEDITACION, MAYAGUEZ, PR 00680(787) 834-2130(787) 834-2010 Get Directions Write a Review

NPPES record last updated: August 14, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Rafael Matos M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RAFAEL MATOS M.D. (NPI 1043247893) is an individual internal medicine provider in Mayaguez, Puerto Rico, licensed in Puerto Rico (10360) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1985).

NPPES Registry Identity

NPI1043247893
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. RAFAEL MATOSCredential: M.D.
Location Address59B CALLE MEDITACIONMayaguez, PR 00680-4818
Mailing AddressPo Box 937Mayaguez, PR 00681-0937 · (787) 834-2130 · Fax (787) 834-2010
Phone(787) 834-2130
Fax(787) 834-2010
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateJune 27, 2006
Last NPPES UpdateAugust 14, 2017
✔ NPI 1043247893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PR · 10360
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Other Identifiers 10

Other11324-04004780PR · United Health Care
Medicare ID-Type UnspecifiedG41232PR · Medicare
Other88848MAPR · Triple-s
Other00638PR · Cruz Azul
Other3732726PR · Family Care
Other212071PR · Uti
OtherPE3595PR · Panamerican
Other116-10360PR · Plan Global
Other58392926PR · Salud Bella Vista
Other6800131PR · Humana Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Rafael Matos M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8022322965
PECOS Enrollment IDI20150805007875
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00680 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.65 typical visit price
range $56.86 – $172.44
Typical copayment $32.66 (range $14.21 – $43.11)
Most-billed visit code 99204
Established Patient
$100.24 typical visit price
range $18.24 – $140.44
Typical copayment $25.06 (range $4.56 – $35.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rafael Matos's NPI number?

The NPI number for Rafael Matos is 1043247893. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is Rafael Matos located?

Rafael Matos practices at 59B Calle Meditacion, Mayaguez, PR 00680. The listed phone number is (787) 834-2130.

What is Rafael Matos's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Rafael Matos enrolled in Medicare?

Yes. Rafael Matos is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Rafael Matos was last updated on August 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.