RAFAEL TIRADO-MONTIJO M.D.
NPI 1285947127
Internal Medicine - Gastroenterology in Manati, PR

Q: What is Rafael Tirado-montijo's NPI number?

The NPI number for Rafael Tirado-montijo is 1285947127. It was assigned to this individual provider in the NPPES registry on July 21, 2010.

Q: What is Rafael Tirado-montijo's specialty?

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

Active since July 21, 2010PECOS EnrolledAccepts Medicare Assignment

93 PASEO ATENAS, MANATI, PR 00674(787) 433-4818 Get Directions Write a Review

NPPES record last updated: October 29, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 29, 2022, May 20, 2016 (2 updates tracked since 2016).

On this page

About Rafael Tirado-montijo M.d. NPPES

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

RAFAEL TIRADO-MONTIJO M.D. (NPI 1285947127) is an individual gastroenterology provider in Manati, Puerto Rico, licensed in Puerto Rico (20618) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1285947127

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameRAFAEL TIRADO-MONTIJOCredential: M.D.

Location Address93 PASEO ATENASManati, PR 00674-5368

Mailing Address93 Paseo AtenasManati, PR 00674-5368 · (787) 433-4818

Phone(787) 433-4818

Sole ProprietorYes

Medical School CMSOtherGraduated 2006

Enumeration DateJuly 21, 2010

Last NPPES UpdateOctober 29, 20222 updates tracked since enumeration

NPPES CertifiedOctober 29, 2022

✔ NPI 1285947127 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 PR · 20618

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 20618 (PR)

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 Tirado-montijo 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 ID4880993393

PECOS Enrollment IDI20160505000654

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 Tirado-montijo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Gastro Atenas LLC

Gastroenterology

93 PASEO ATENAS
Manati, PR 00674

Reassigned Medicare billing, Puerto Rico enrollment
2 clinicians in this Medicare group

NPI 1306392337 (787) 854-7363

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.

59 services27 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.

32 services22 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

19 services19 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.

14 services14 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00674 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.

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.

GASTRO ATENAS LLC

Internal Medicine (Gastroenterology)

93 PASEO ATENAS
MANATI, PR 00674

Manatí Municipio (787) 854-7363

ATENAS PSYCHIATRY GROUP PSC

Psychiatry & Neurology (Psychiatry)

93 PASEO ATENAS
MANATI, PR 00674

Manatí Municipio (787) 854-7363

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 Tirado-montijo's NPI number?

The NPI number for Rafael Tirado-montijo is 1285947127. It was assigned to this individual provider in the NPPES registry on July 21, 2010.

Where is Rafael Tirado-montijo located?

Rafael Tirado-montijo practices at 93 Paseo Atenas, Manati, PR 00674. The listed phone number is (787) 433-4818.

What is Rafael Tirado-montijo's specialty?

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

Is Rafael Tirado-montijo enrolled in Medicare?

Yes. Rafael Tirado-montijo 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 organization bills Medicare for Rafael Tirado-montijo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rafael Tirado-montijo reassigns Medicare benefits to Gastro Atenas LLC (Manati, 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 Tirado-montijo'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 Tirado-montijo was last updated on October 29, 2022. 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.