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DR. RAFAEL E RODRIGUEZ - LOPEZ MD
NPI 1275530743
Internal Medicine - Gastroenterology in San Juan, PR

Active since June 30, 2005PECOS EnrolledAccepts Medicare Assignment
67.09/100
CMS Quality Rating
735 AVE PONCE DE LEON, TORRE MEDICA AUXILIO MUTUO SUITE 816, SAN JUAN, PR 00918(787) 763-1025(787) 250-1928 Get Directions Write a Review

NPPES record last updated: September 9, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Rafael E Rodriguez - Lopez Md NPPES

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

DR. RAFAEL E RODRIGUEZ - LOPEZ MD (NPI 1275530743) is an individual gastroenterology provider in San Juan, Puerto Rico, licensed in Puerto Rico (7767) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Auxilio Mutuo Hospital, and is a graduate of Other (1982).

NPPES Registry Identity

NPI1275530743
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. RAFAEL E RODRIGUEZ - LOPEZCredential: MD
Location Address735 AVE PONCE DE LEON, TORRE MEDICA AUXILIO MUTUO SUITE 816San Juan, PR 00918
Mailing Address735 Ave Ponce De Leon, Torre Medica Auxilio Mutuo Suite 816San Juan, PR 00918 · (787) 763-1025 · Fax (787) 250-1928
Phone(787) 763-1025
Fax(787) 250-1928
Sole ProprietorYes
Medical School CMSOtherGraduated 1982
Enumeration DateJune 30, 2005
Last NPPES UpdateSeptember 9, 2016
✔ NPI 1275530743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in PR · 7767
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.
735 AVE PONCE DE LEON, San Juan, PR 00918
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Other Identifiers 2

Medicare PIN0081887PR
Medicare UPINE42070PR

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 E Rodriguez - Lopez 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 ID5991791857
PECOS Enrollment IDI20040424000174
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.

Areas of Expertise CMS Part B claims 4

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.
62 services39 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
29 services29 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.
24 services23 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.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Hospital Universitario De Adulto

Acute Care Hospitals · Rio Piedras, PR
OwnershipGovernment - State
CMS Certification Number400061
LocationBarrio Monacillos CentromedicoRio Piedras, PR 00927 · San Juan County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00918 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

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.

GI MED CONSULTING LLC
Internal Medicine (Gastroenterology)
735 AVE PONCE DE LEON, TORRE MEDICA AUXILIO MUTUO STE 816
SAN JUAN, PR 00918
San Juan Municipio (787) 763-1025
DR. FIORELLA ENID REYES-BAEZ MD, MS
Obstetrics & Gynecology (Gynecologic Oncology)
735 AVE PONCE DE LEON, SUITE 812 TORRE MEDICA AUXILIO MUTUO
SAN JUAN, PR 00918
San Juan Municipio (787) 945-2919

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 Rodriguez - Lopez's NPI number?

The NPI number for Rafael Rodriguez - Lopez is 1275530743. It was assigned to this individual provider in the NPPES registry on June 30, 2005.

Where is Rafael Rodriguez - Lopez located?

Rafael Rodriguez - Lopez practices at 735 Ave Ponce De Leon Torre Medica Auxilio Mutuo Suite 816, San Juan, PR 00918. The listed phone number is (787) 763-1025.

What is Rafael Rodriguez - Lopez's specialty?

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

Is Rafael Rodriguez - Lopez enrolled in Medicare?

Yes. Rafael Rodriguez - Lopez 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.

Is Rafael Rodriguez - Lopez affiliated with any hospitals?

According to CMS data, Rafael Rodriguez - Lopez is affiliated with Auxilio Mutuo Hospital and Hospital Universitario De Adulto.

When was this NPI record last updated?

The NPPES record for Rafael Rodriguez - Lopez was last updated on September 9, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.