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DR. JOSE RAFAEL PESQUERA-GARCIA M.D.
NPI 1598788408
Internal Medicine - Hematology & Oncology in Santurce, PR

Active since July 25, 2006PECOS EnrolledAccepts Medicare Assignment
SANTURCE MEDICAL MALL SUITE #309-310, AVE. PONCE DE LEON 1801, SANTURCE, PR 00909(787) 728-1193(787) 726-4244 Get Directions Write a Review

NPPES record last updated: December 24, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Jose Rafael Pesquera-garcia M.d. NPPES

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

DR. JOSE RAFAEL PESQUERA-GARCIA M.D. (NPI 1598788408) is an individual hematology & oncology provider in Santurce, Puerto Rico, licensed in Puerto Rico (7279) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Pine Ridge Ihs Hospital, and is a graduate of Other (1980).

NPPES Registry Identity

NPI1598788408
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. JOSE RAFAEL PESQUERA-GARCIACredential: M.D.
Location AddressSANTURCE MEDICAL MALL SUITE #309-310, AVE. PONCE DE LEON 1801Santurce, PR 00909
Mailing AddressPo Box 19921San Juan, PR 00910 · (787) 728-1193 · Fax (787) 726-4244
Phone(787) 728-1193
Fax(787) 726-4244
Sole ProprietorYes
Medical School CMSOtherGraduated 1980
Enumeration DateJuly 25, 2006
Last NPPES UpdateDecember 24, 2008
✔ NPI 1598788408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in PR · 7279
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
SANTURCE MEDICAL MALL SUITE #309-310, Santurce, PR 00909
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Other Identifiers 3

Medicare ID-Type Unspecified29056PR
Medicare PIN29056
Medicare UPINC79806PR

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

Dr. Jose Rafael Pesquera-garcia 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 ID4981500584
PECOS Enrollment IDI20170921003242
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 Reassignments

4

Medicare enrollment records show Jose Pesquera-garcia reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hope Health Psc
0.7 mi
Corporate Health
AVE DE DIEGO 150, SAN JUAN HEALTH CENTRE SUITE 708
San Juan, PR 00907
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 17 clinicians in this Medicare group
NPI 1609186212 (787) 338-5422
Pine Ridge Indian Health Service Hospital
2,686 mi
Clinic/Center
119 SOUTH 1ST AVENUE
Martin, SD 57551
  • Reassigned Medicare billing, Texas enrollment
  • 426 clinicians in this Medicare group
NPI 1003208257 (605) 685-2800
Hope Med Psc
Internal Medicine
AVE PONCE DE LEON, HATO REY
San Juan, PR 00919
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 28 clinicians in this Medicare group
NPI 1265003198 (787) 785-2000
Mennonite General Hospital Inc
Specialist
CALLE JOSE C VAZQUEZ, BO CAONILLAS
Aibonito, PR 00705
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 205 clinicians in this Medicare group
NPI 1043347768 (787) 535-1001

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Pine Ridge Ihs Hospital

Acute Care Hospitals · Pine Ridge, SD
OwnershipGovernment - Federal
CMS Certification Number430098
LocationEast Highway 18Pine Ridge, SD 57770 · Oglala Lakota County County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00909 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
$172.44 typical visit price
range $56.86 – $172.44
Typical copayment $43.11 (range $14.21 – $43.11)
Most-billed visit code 99205
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.

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 Jose Pesquera-garcia's NPI number?

The NPI number for Jose Pesquera-garcia is 1598788408. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is Jose Pesquera-garcia located?

Jose Pesquera-garcia practices at Santurce Medical Mall Suite #309-310 Ave. Ponce De Leon 1801, Santurce, PR 00909. The listed phone number is (787) 728-1193.

What is Jose Pesquera-garcia's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Jose Pesquera-garcia enrolled in Medicare?

Yes. Jose Pesquera-garcia 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 organizations bill Medicare for Jose Pesquera-garcia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jose Pesquera-garcia reassigns Medicare benefits to 4 organizations: Hope Health Psc (San Juan, PR), Pine Ridge Indian Health Service Hospital (Martin, SD), Hope Med Psc (San Juan, PR) and Mennonite General Hospital Inc (Aibonito, PR). Each 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 Jose Pesquera-garcia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jose Pesquera-garcia affiliated with any hospitals?

According to CMS data, Jose Pesquera-garcia is affiliated with Pine Ridge Ihs Hospital.

When was this NPI record last updated?

The NPPES record for Jose Pesquera-garcia was last updated on December 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.