DR. RAFAEL MANUEL FERNANDEZ-SOLTERO MD
NPI 1336105428
Orthopaedic Surgery in Coto Laurel, PR

Active since April 26, 2006PECOS EnrolledAccepts Medicare Assignment
TORRE SAN CRISTOBAL, SUITE 201, COTO LAUREL, PR 00780(787) 843-3971(787) 842-5841 Get Directions Write a Review

NPPES record last updated: May 18, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 18, 2022, Mar 11, 2021 (2 updates tracked since 2021).

About Dr. Rafael Manuel Fernandez-soltero Md NPPES

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

DR. RAFAEL MANUEL FERNANDEZ-SOLTERO MD (NPI 1336105428) is an individual orthopaedic surgery provider in Coto Laurel, Puerto Rico, licensed in Puerto Rico (11339) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Berlin, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1336105428
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. RAFAEL MANUEL FERNANDEZ-SOLTEROCredential: MD
Location AddressTORRE SAN CRISTOBAL, SUITE 201Coto Laurel, PR 00780
Mailing AddressPo Box 800809Coto Laurel, PR 00780-0809 · (787) 843-3971 · Fax (787) 842-5841
Fax(787) 842-5841
Sole ProprietorYes
Medical School CMSOtherGraduated 1987
Enumeration DateApril 26, 2006
Last NPPES UpdateMay 18, 20222 updates tracked since enumeration
NPPES CertifiedMay 18, 2022
NPI 1336105428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses Licensed in PR · 11339 Licensed in WI · 1881 Licensed in WI · 1881-320
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Other Names 1

Other Name (5)Rafael Manuel Fernandez

Secondary Practice Location 1

Location 1191 Memorial DrBerlin, WI 54923-1241 · Phone (920) 361-2500

Accepted Insurance

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 Manuel Fernandez-soltero 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 ID8224114475
PECOS Enrollment IDI20080327000704
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 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.
41 services35 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
38 services29 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.
34 services31 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.
19 services19 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.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00780 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.

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.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
98%48 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
18%39 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
10%30 patients1/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 34 patients
0%34 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 18

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

Psychiatry & Neurology (Psychiatry)
TORRE SAN CRISTOBAL, SUITE 309
COTO LAUREL, PR 00780
Internal Medicine (Gastroenterology)
TORRE SAN CRISTOBAL, SUITE 307
COTO LAUREL, PR 00780
Internal Medicine
TORRE SAN CRISTOBAL, STE 209
COTO LAUREL, PR 00780
Psychiatry & Neurology (Child & Adolescent Psychiatry)
TORRE SAN CRISTOBAL, SUITE 309
COTO LAUREL, PR 00780
Psychiatry & Neurology (Psychiatry)
TORRE SAN CRISTOBAL, SUITE 211
COTO LAUREL, PR 00780
Internal Medicine
TORRE SAN CRISTOBAL, SUITE 314
COTO LAUREL, PR 00780
Podiatrist
TORRE SAN CRISTOBAL, SUITE 213
COTO LAUREL, PR 00780
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
TORRE SAN CRISTOBAL, STE 202
COTO LAUREL, PR 00780

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 Fernandez-soltero's NPI number?

The NPI number for Rafael Fernandez-soltero is 1336105428. It was assigned to this individual provider in the NPPES registry on April 26, 2006.

Where is Rafael Fernandez-soltero located?

Rafael Fernandez-soltero practices at Torre San Cristobal Suite 201, Coto Laurel, PR 00780. The listed phone number is (787) 843-3971.

What is Rafael Fernandez-soltero's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Rafael Fernandez-soltero enrolled in Medicare?

Yes. Rafael Fernandez-soltero 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.

What insurance does Rafael Fernandez-soltero accept?

Health plans from Medica list Rafael Fernandez-soltero as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Rafael Fernandez-soltero was last updated on May 18, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.