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RAFAEL MARTINEZ M.D.
NPI 1285782524
Internal Medicine in Caguas, PR

Active since January 05, 2007PECOS EnrolledAccepts Medicare Assignment
2F1 CALLE SANJURJO, BAIROA PARK, CAGUAS, PR 00727(787) 703-5032 Get Directions Write a Review

NPPES record last updated: March 1, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Rafael Martinez M.d. NPPES

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

RAFAEL MARTINEZ M.D. (NPI 1285782524) is an individual internal medicine provider in Caguas, Puerto Rico, licensed in Puerto Rico (13228) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Hospital Menonita Caguas Inc, and is a graduate of Other (1983).

NPPES Registry Identity

NPI1285782524
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameRAFAEL MARTINEZCredential: M.D.
Location Address2F1 CALLE SANJURJO, BAIROA PARKCaguas, PR 00727-1114
Mailing Address2f1 Calle Sanjurjo, Bairoa ParkCaguas, PR 00727-1114 · (787) 703-5032
Phone(787) 703-5032
Sole ProprietorYes
Medical School CMSOtherGraduated 1983
Enumeration DateJanuary 5, 2007
Last NPPES UpdateMarch 1, 2023
NPPES CertifiedMarch 1, 2023
✔ NPI 1285782524 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 · 13228
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.

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

Rafael Martinez 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 ID1759391279
PECOS Enrollment IDI20060428000087
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 2

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
101 services11 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
14 services13 patients

Hospital Affiliations CMS Care Compare

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

Hospital Menonita Caguas Inc

Acute Care Hospitals · Caguas, PR
OwnershipVoluntary non-profit - Private
CMS Certification Number400104
LocationCarr 172 Exit 21 Urb Turabo GardensCaguas, PR 00725 · Caguas County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00727 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.

Referred Medical Equipment & Supplies CMS DME claims

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

Iv pole E0776
DME-Other DME · category DE000N
1 supplier12 claims12 services$12.70 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Martinez's NPI number?

The NPI number for Rafael Martinez is 1285782524. It was assigned to this individual provider in the NPPES registry on January 5, 2007.

Where is Rafael Martinez located?

Rafael Martinez practices at 2f1 Calle Sanjurjo Bairoa Park, Caguas, PR 00727. The listed phone number is (787) 703-5032.

What is Rafael Martinez's specialty?

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

Is Rafael Martinez enrolled in Medicare?

Yes. Rafael Martinez 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 Martinez affiliated with any hospitals?

According to CMS data, Rafael Martinez is affiliated with Hospital Menonita Caguas Inc.

When was this NPI record last updated?

The NPPES record for Rafael Martinez was last updated on March 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.