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RAFAEL PASTRANA LABORDE MD
NPI 1073545257
Internal Medicine - Gastroenterology in Hato Rey, PR

Active since July 07, 2006PECOS EnrolledAccepts Medicare Assignment
67.09/100
CMS Quality Rating
735 AVE PONCE DE LEON, STE 816, HATO REY, PR 00917(787) 505-5482(787) 250-1928 Get Directions Write a Review

NPPES record last updated: July 17, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Rafael Pastrana Laborde Md NPPES

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

RAFAEL PASTRANA LABORDE MD (NPI 1073545257) is an individual gastroenterology provider in Hato Rey, Puerto Rico, licensed in Florida (ME96195) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Auxilio Mutuo Hospital, and is a graduate of University Of Puerto Rico School Of Medicine (1999).

NPPES Registry Identity

NPI1073545257
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameRAFAEL PASTRANA LABORDECredential: MD
Location Address735 AVE PONCE DE LEON, STE 816Hato Rey, PR 00917-5022
Mailing Address735 Ave Ponce De Leon Ste 816, Torre Medica Auxilio MutuoSan Juan, PR 00917 · (787) 763-1025 · Fax (787) 250-1928
Phone(787) 505-5482
Fax(787) 250-1928
Sole ProprietorNo
Medical School CMSUniversity Of Puerto Rico School Of MedicineGraduated 1999
Enumeration DateJuly 7, 2006
Last NPPES UpdateJuly 17, 2013
✔ NPI 1073545257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in FL · ME96195
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License ME96195 (FL)
735 AVE PONCE DE LEON, Hato Rey, PR 00917
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Other Identifiers 7

Other53390FL · Blue Cross Blue Shield
Medicaid275571800FL
Medicare PINU7730ZPR
Medicare PINU7730ZFL
Medicare PINP00379156FL
Medicare UPINI55999PR
Medicare UPINI55999FL

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

Rafael Pastrana Laborde Md 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 ID6709889538
PECOS Enrollment IDI20070910000570
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

3

Medicare enrollment records show Rafael Pastrana Laborde reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospital Espanol Auxilio Mutuo De Puerto Rico, Inc.
General Acute Care Hospital
735 AVE PONCE DE LEON, STOP 37.5
San Juan, PR 00917
  • Reassigned Medicare billing, Puerto Rico enrollment
  • Also billed through NPI 1487947214 (Puerto Rico)
  • 31 clinicians in this Medicare group
NPI 1376561522 (787) 758-2000
Mennonite General Hospital Inc
Specialist
CALLE JOSE C VAZQUEZ, BO CAONILLAS
Aibonito, PR 00705
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 205 clinicians in this Medicare group
NPI 1043347768 (787) 535-1001
Pr Gi-Liver Associates Psc
Gastroenterology
COND SAN JORGE # 361
San Juan, PR 00912
  • Reassigned Medicare billing, Puerto Rico enrollment
NPI 1144516436 (787) 765-6554

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

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
82 services52 patients
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito G0500
Moderate sedation is a method where a physician uses medication to help you relax during a gastrointestinal endoscopy. An independent trained observer will be present to monitor your vital signs and ensure your safety throughout the procedure. It's a common and safe practice.
29 services28 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
21 services17 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
16 services16 patients
Diagnostic exam of large bowel using a flexible endoscope 45378
This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.
13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Auxilio Mutuo Hospital

Acute Care Hospitals · San Juan, PR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number400016
LocationPonce De Leon Avenue 735 Stop 37 1/2San Juan, PR 00918 · San Juan County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00917 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

67.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.73
Promoting Interoperability0
Improvement Activities40
Cost68.24

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
5 suppliers35 claims3,300 services$0.25 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
4 suppliers20 claims20 services$16.11 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
5 suppliers23 claims23 services$8.55 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MARIO B GOITIA DURAN MD
General Practice
735 AVE PONCE DE LEON
SAN JUAN, PR 00917
San Juan Municipio (939) 390-4382
DR. YUDIT MAYTEE BRITO PEQUERA
General Practice
735 AVE PONCE DE LEON, STE 715
SAN JUAN, PR 00917
San Juan Municipio (787) 967-6769
DR. JOSE RAFAEL RODRIGUEZ-SANTANA M.D.
Pediatrics (Pediatric Pulmonology)
735 AVE PONCE DE LEON
SAN JUAN, PR 00917
San Juan Municipio (787) 758-2780
DR. RAUL G VILA RAMIREZ MD
Otolaryngology
735 AVE PONCE DE LEON, SUITE 407
SAN JUAN, PR 00917
San Juan Municipio (787) 773-0533
DR. PEDRO F DEL VALLE DE TOMAS MD
Internal Medicine
735 AVE PONCE DE LEON, SUITE 715 TORRE AUXILIO MUTUO
SAN JUAN, PR 00917
San Juan Municipio (787) 250-0125
DR. HIRAM RAFAEL SOLER M.D.
Surgery (Surgery of the Hand)
735 AVE PONCE DE LEON, TOEER DEL AUXILIO SUITE 709
SAN JUAN, PR 00917
San Juan Municipio (787) 296-0540
NEPHROLOGY&INTERNALMEDICINEPARTNERSPSC
Clinic/Center (Health Service)
735 AVE PONCE DE LEON
SAN JUAN, PR 00917
San Juan Municipio (787) 764-8520
CENTRO DE ENDODONCIA Y PERIODONCIA DEL CARIBE
Dentist (Periodontics)
735 AVE PONCE DE LEON, SUITE 504 TORRE DEL AUXILIO MUTUO
SAN JUAN, PR 00917
San Juan Municipio (787) 607-6171

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 Pastrana Laborde's NPI number?

The NPI number for Rafael Pastrana Laborde is 1073545257. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Rafael Pastrana Laborde located?

Rafael Pastrana Laborde practices at 735 Ave Ponce De Leon Ste 816, Hato Rey, PR 00917. The listed phone number is (787) 505-5482.

What is Rafael Pastrana Laborde's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Rafael Pastrana Laborde enrolled in Medicare?

Yes. Rafael Pastrana Laborde 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 Rafael Pastrana Laborde's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rafael Pastrana Laborde reassigns Medicare benefits to 3 organizations: Hospital Espanol Auxilio Mutuo De Puerto Rico, Inc. (San Juan, PR), Mennonite General Hospital Inc (Aibonito, PR) and Pr Gi-Liver Associates Psc (San Juan, 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 Rafael Pastrana Laborde's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Rafael Pastrana Laborde affiliated with any hospitals?

According to CMS data, Rafael Pastrana Laborde is affiliated with Auxilio Mutuo Hospital.

When was this NPI record last updated?

The NPPES record for Rafael Pastrana Laborde was last updated on July 17, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.