DR. ISMAEL TORO GRAJALES MD, MPH
NPI 1063487171
Family Medicine - Geriatric Medicine in Bayamon, PR

Active since February 22, 2006PECOS EnrolledAccepts Medicare Assignment
B7 CALLE SANTA CRUZ, URB. SANTA CRUZ, BAYAMON, PR 00961(787) 780-9316(787) 778-4793 Get Directions Write a Review

NPPES record last updated: August 10, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Ismael Toro Grajales Md, Mph NPPES

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

DR. ISMAEL TORO GRAJALES MD, MPH (NPI 1063487171) is an individual geriatric medicine provider in Bayamon, Puerto Rico, licensed in Puerto Rico (7177) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and is a graduate of University Central Del Caribe Escuela De Medicina (1980).

NPPES Registry Identity

NPI1063487171
Entity TypeIndividualMale
Primary Taxonomy207QG0300X
Provider Legal NameDR. ISMAEL TORO GRAJALESCredential: MD, MPH
Location AddressB7 CALLE SANTA CRUZ, URB. SANTA CRUZBayamon, PR 00961-6902
Mailing AddressB7 Calle Santa Cruz, Urb. Santa CruzBayamon, PR 00961-6902 · (787) 780-9316 · Fax (787) 778-4793
Fax(787) 778-4793
Sole ProprietorYes
Medical School CMSUniversity Central Del Caribe Escuela De MedicinaGraduated 1980
Enumeration DateFebruary 22, 2006
Last NPPES UpdateAugust 10, 2010
✔ NPI 1063487171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
License✔ Licensed in PR · 7177
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
B7 CALLE SANTA CRUZ, Bayamon, PR 00961

Other Identifiers 2

Medicare ID-Type Unspecified0098786PR · Provider Number
Medicare UPINC78250PR

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Ismael Toro Grajales Md, Mph 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 ID8426026220
PECOS Enrollment IDI20060623000101
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Ismael Toro Grajales reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Health Service
B7 CALLE SANTA CRUZ
Bayamon, PR 00961
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 12 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
B7 CALLE SANTA CRUZ
Bayamon, PR 00961
  • Reassigned Medicare billing, Puerto Rico enrollment
  • Medicare enrollment name: Cdt Gmsp Inc
  • 24 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00961 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
$88.07 typical visit price
range $56.86 – $172.44
Typical copayment $22.01 (range $14.21 – $43.11)
Most-billed visit code 99203
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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Preventive Medicine (Public Health & General Preventive Medicine)
B7 CALLE SANTA CRUZ, URB SANTA CRUZ
BAYAMON, PR 00961
Health Educator
B7 CALLE SANTA CRUZ
BAYAMON, PR 00961
Case Manager/Care Coordinator
B7 CALLE SANTA CRUZ
BAYAMON, PR 00961
Clinic/Center (Multi-Specialty)
B7 CALLE SANTA CRUZ
BAYAMON, PR 00961
Case Manager/Care Coordinator
B7 CALLE SANTA CRUZ
BAYAMON, PR 00961
Pediatrics
B7 CALLE SANTA CRUZ
BAYAMON, PR 00961
Licensed Practical Nurse
B7 CALLE SANTA CRUZ
BAYAMON, PR 00961
Case Manager/Care Coordinator
B7 CALLE SANTA CRUZ
BAYAMON, PR 00961

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 Ismael Toro Grajales's NPI number?

The NPI number for Ismael Toro Grajales is 1063487171. It was assigned to this individual provider in the NPPES registry on February 22, 2006.

Where is Ismael Toro Grajales located?

Ismael Toro Grajales practices at B7 Calle Santa Cruz Urb. Santa Cruz, Bayamon, PR 00961. The listed phone number is (787) 780-9316.

What is Ismael Toro Grajales's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Is Ismael Toro Grajales enrolled in Medicare?

Yes. Ismael Toro Grajales 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.

Which organizations bill Medicare for Ismael Toro Grajales's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ismael Toro Grajales reassigns Medicare benefits to 2 organizations: Cooperativa De Facultad Medica Sanacoop (Bayamon, PR) and Cdt G.M,s.P., Inc (Bayamon, PR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ismael Toro Grajales's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ismael Toro Grajales was last updated on August 10, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.