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RAFAEL A LOPEZ HERNANDEZ M.D.
NPI 1497740849
Orthopaedic Surgery in San Juan, PR

Active since September 13, 2005PECOS EnrolledAccepts Medicare Assignment
AVE JUAN PONCE DE LEON, SAN JUAN, PR 00919(787) 758-2000(787) 753-4757 Get Directions Write a Review

NPPES record last updated: June 9, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 9, 2021, May 22, 2018, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Rafael A Lopez Hernandez M.d. NPPES

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

RAFAEL A LOPEZ HERNANDEZ M.D. (NPI 1497740849) is an individual orthopaedic surgery provider in San Juan, Puerto Rico, licensed in Puerto Rico (11039) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Hospital Menonita De Cayey, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1497740849
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameRAFAEL A LOPEZ HERNANDEZCredential: M.D.
Location AddressAVE JUAN PONCE DE LEONSan Juan, PR 00919
Mailing AddressPo Box 363682San Juan, PR 00936-3682 · (787) 616-8226 · Fax (787) 535-1057
Phone(787) 758-2000
Fax(787) 753-4757
Sole ProprietorYes
Medical School CMSUniversity Of Puerto Rico School Of MedicineGraduated 1987
Enumeration DateSeptember 13, 2005
Last NPPES UpdateJune 9, 20214 updates tracked since enumeration
NPPES CertifiedMay 20, 2021
✔ NPI 1497740849 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 · 11039✔ Licensed in FL · ME131587
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.

Secondary Practice Locations 5

Location 1875 Military Trl Ste 105Jupiter, FL 33458-5700 · Phone (561) 798-6600 · Fax (561) 753-3328
Location 2Ave Pedro Albizu Campos, Esq Urb La HaciendaGuayama, PR 00785 · Phone (787) 866-0132 · Fax (787) 866-5960
Location 3440 N State Road 7 Ste 103Royal Palm Beach, FL 33411 · Phone (561) 798-6600 · Fax (561) 753-3328
Location 4calle palmer num 1 sur, esq Vicente PalesGuayama, PR 00784 · Phone (787) 866-1449
Location 5CARR PR NUM 14 KM 1.2CAYEY, PR 00737-3130 · Phone (787) 535-1001 ext. 5790

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 A Lopez Hernandez 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 ID4284548264
PECOS Enrollment IDI20031114000015
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.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
39 services21 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Hospital Menonita De Cayey

Acute Care Hospitals · Cayey, PR
OwnershipVoluntary non-profit - Private
CMS Certification Number400013
LocationBo. Rincon Sector Las Lomas Km.3.1 Carr 14Cayey, PR 00737 · Cayey County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00919 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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers17 claims18 services$72.11 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
3 suppliers23 claims23 services$27.69 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
2 suppliers17 claims17 services$11.58 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 Lopez Hernandez's NPI number?

The NPI number for Rafael Lopez Hernandez is 1497740849. It was assigned to this individual provider in the NPPES registry on September 13, 2005.

Where is Rafael Lopez Hernandez located?

Rafael Lopez Hernandez practices at Ave Juan Ponce De Leon, San Juan, PR 00919. The listed phone number is (787) 758-2000.

What is Rafael Lopez Hernandez's specialty?

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

Is Rafael Lopez Hernandez enrolled in Medicare?

Yes. Rafael Lopez Hernandez 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 Lopez Hernandez affiliated with any hospitals?

According to CMS data, Rafael Lopez Hernandez is affiliated with Hospital Menonita De Cayey.

When was this NPI record last updated?

The NPPES record for Rafael Lopez Hernandez was last updated on June 9, 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.