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DR. RAFAEL A. GAVILANES - MENDEZ DMD
NPI 1154726131
Dentist - Oral and Maxillofacial Surgery in San Antonio, PR

Active since November 03, 2014PECOS Enrolled
1005 AVE GENERAL RAMEY STE 1, SAN ANTONIO, PR 00690(787) 510-0912 Get Directions Write a Review

NPPES record last updated: April 22, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 22, 2021, Feb 17, 2021, Jul 18, 2018 (3 updates tracked since 2018).

About Dr. Rafael A. Gavilanes - Mendez Dmd NPPES

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

DR. RAFAEL A. GAVILANES - MENDEZ DMD (NPI 1154726131) is an individual oral and maxillofacial surgery provider in San Antonio, Puerto Rico, licensed in Puerto Rico (3250) and active in the NPI registry since November 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154726131
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. RAFAEL A. GAVILANES - MENDEZCredential: DMD
Location Address1005 AVE GENERAL RAMEY STE 1San Antonio, PR 00690
Mailing AddressPo Box 784San Antonio, PR 00690-0784 · (787) 510-0912
Phone(787) 510-0912
Sole ProprietorYes
Enumeration DateNovember 3, 2014
Last NPPES UpdateApril 22, 20213 updates tracked since enumeration
NPPES CertifiedApril 22, 2021
✔ NPI 1154726131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in PR · 3250
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Rafael A. Gavilanes - Mendez Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Rafael Gavilanes - Mendez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Recinto De Ciencias Medicas
Oral & Maxillofacial Surgery
CENTRO MEDICO DE PR EDIF. PRINCIPAL, ESCUELA DE MEDICINA APTO 29134
San Juan, PR 00936
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 10 clinicians in this Medicare group
NPI 1205868676 (787) 758-2525

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 00690 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
$70.88 typical visit price
range $18.24 – $140.44
Typical copayment $17.72 (range $4.56 – $35.11)
Most-billed visit code 99213
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 2

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

BAJALU, LLC
Dentist (Oral and Maxillofacial Surgery)
1005 AVE GENERAL RAMEY STE 1
SAN ANTONIO, PR 00690
Aguadilla Municipio (787) 510-0912
NATALIA GUEVARA DMD
Dentist (Orthodontics and Dentofacial Orthopedics)
1005 AVE GENERAL RAMEY STE 1
SAN ANTONIO, PR 00690
Aguadilla Municipio (787) 509-6521

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 Gavilanes - Mendez's NPI number?

The NPI number for Rafael Gavilanes - Mendez is 1154726131. It was assigned to this individual provider in the NPPES registry on November 3, 2014.

Where is Rafael Gavilanes - Mendez located?

Rafael Gavilanes - Mendez practices at 1005 Ave General Ramey Ste 1, San Antonio, PR 00690. The listed phone number is (787) 510-0912.

What is Rafael Gavilanes - Mendez's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Rafael Gavilanes - Mendez enrolled in Medicare?

Yes. Rafael Gavilanes - Mendez is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Rafael Gavilanes - Mendez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rafael Gavilanes - Mendez reassigns Medicare benefits to Recinto De Ciencias Medicas (San Juan, PR). The 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 Gavilanes - Mendez'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 Rafael Gavilanes - Mendez was last updated on April 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.