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DR. RAPHAEL ALEXIS COLON-HERNANDEZ M.D.
NPI 1730382870
Emergency Medicine in San Juan, PR

Active since June 07, 2007PECOS Enrolled
550 CALLE ELMA, CAPARRA HEIGHTS, SAN JUAN, PR 00920(504) 810-3110 Get Directions Write a Review

NPPES record last updated: May 10, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Raphael Alexis Colon-hernandez M.d. NPPES

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

DR. RAPHAEL ALEXIS COLON-HERNANDEZ M.D. (NPI 1730382870) is an individual emergency medicine provider in San Juan, Puerto Rico, licensed in Puerto Rico (11479) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730382870
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. RAPHAEL ALEXIS COLON-HERNANDEZCredential: M.D.
Location Address550 CALLE ELMA, CAPARRA HEIGHTSSan Juan, PR 00920-4703
Mailing Address9231 N 29th StPhoenix, AZ 85028-4805 · (504) 810-3110
Phone(504) 810-3110
Sole ProprietorYes
Enumeration DateJune 7, 2007
Last NPPES UpdateMay 10, 2011
✔ NPI 1730382870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in PR · 11479
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Raphael Alexis Colon-hernandez M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

3

Medicare enrollment records show Raphael Colon-hernandez reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine Services Of Fl, LLC
Emergency Medicine
20900 BISCAYNE BLVD
Aventura, FL 33180
  • Reassigned Medicare billing, Florida enrollment
  • 1,912 clinicians in this Medicare group
NPI 1043917180 (305) 682-7000
Progressive Medical Associates PLLC
Emergency Medicine
1400 S DOBSON RD
Mesa, AZ 85202
  • Reassigned Medicare billing, Arizona enrollment
  • 211 clinicians in this Medicare group
NPI 1548218613 (480) 456-9500
W4p LLC
Emergency Medicine
10461 QUALITY DR
Spring Hill, FL 34609
  • Reassigned Medicare billing, Florida enrollment
  • 118 clinicians in this Medicare group
NPI 1689116618 (352) 688-8200

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 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
215 services209 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
42 services42 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
25 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00920 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
$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 Raphael Colon-hernandez's NPI number?

The NPI number for Raphael Colon-hernandez is 1730382870. It was assigned to this individual provider in the NPPES registry on June 7, 2007.

Where is Raphael Colon-hernandez located?

Raphael Colon-hernandez practices at 550 Calle Elma Caparra Heights, San Juan, PR 00920. The listed phone number is (504) 810-3110.

What is Raphael Colon-hernandez's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Raphael Colon-hernandez enrolled in Medicare?

Yes. Raphael Colon-hernandez is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Raphael Colon-hernandez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raphael Colon-hernandez reassigns Medicare benefits to 3 organizations: Emergency Medicine Services Of Fl, LLC (Aventura, FL), Progressive Medical Associates PLLC (Mesa, AZ) and W4p LLC (Spring Hill, FL). 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 Raphael Colon-hernandez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Raphael Colon-hernandez accept?

Health plans from Oscar Health Maintenance Organization of Florida list Raphael Colon-hernandez 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 Raphael Colon-hernandez was last updated on May 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.