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JOSE EFRAIN ABREU ARBELO MD
NPI 1851656441
Internal Medicine - Hematology & Oncology in San Juan, PR

Active since July 10, 2012PECOS EnrolledAccepts Medicare Assignment
67.09/100
CMS Quality Rating
UNIVERSITY DISTRISTRICT HOSPITAL, PUERTO RICO MEDICAL CENTER BO. MONACILLOS, SAN JUAN, PR 00935(787) 754-0101 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Jan 24, 2020, Nov 7, 2018 (3 updates tracked since 2018).

About Jose Efrain Abreu Arbelo Md NPPES

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

JOSE EFRAIN ABREU ARBELO MD (NPI 1851656441) is an individual hematology & oncology provider in San Juan, Puerto Rico, licensed in Puerto Rico (21318) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS, is affiliated with Presbyterian Community Hosp, and is a graduate of University Of Puerto Rico School Of Medicine (2015).

NPPES Registry Identity

NPI1851656441
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameJOSE EFRAIN ABREU ARBELOCredential: MD
Location AddressUNIVERSITY DISTRISTRICT HOSPITAL, PUERTO RICO MEDICAL CENTER BO. MONACILLOSSan Juan, PR 00935-0001
Mailing AddressAve. Ponce De Len, Parada 37 1/2San Juan, PR 00919 · (787) 758-2000
Phone(787) 754-0101
Sole ProprietorYes
Medical School CMSUniversity Of Puerto Rico School Of MedicineGraduated 2015
Enumeration DateJuly 10, 2012
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 24, 2020
✔ NPI 1851656441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Licenses✔ Licensed in PR · 21318✔ Licensed in FL · ME137366
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.
Also ListedGeneral PracticeTaxonomy 208D00000X · License 29552 (PR)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

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

Jose Efrain Abreu Arbelo 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 ID5799023586
PECOS Enrollment IDI20200329000157
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 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.
168 services49 patients
Biopsy and aspiration of bone marrow sample for diagnosis 38222
A bone marrow biopsy and aspiration is a procedure where a small amount of bone marrow is removed for testing. It involves inserting a needle into a bone, typically the hip, to collect a sample. It can help diagnose various diseases and monitor treatment effectiveness.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Presbyterian Community Hosp

Acute Care Hospitals · San Juan, PR
OwnershipVoluntary non-profit - Private
CMS Certification Number400001
Location1451 Ashford AvenueSan Juan, PR 00907 · San Juan County
Emergency services

Auxilio Mutuo Hospital

Acute Care Hospitals · San Juan, PR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number400016
LocationPonce De Leon Avenue 735 Stop 37 1/2San Juan, PR 00918 · San Juan County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00935 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.

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.

67.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.73
Promoting Interoperability0
Improvement Activities40
Cost68.24

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 Abreu Arbelo's NPI number?

The NPI number for Jose Abreu Arbelo is 1851656441. It was assigned to this individual provider in the NPPES registry on July 10, 2012.

Where is Jose Abreu Arbelo located?

Jose Abreu Arbelo practices at University Distristrict Hospital Puerto Rico Medical Center Bo. Monacillos, San Juan, PR 00935. The listed phone number is (787) 754-0101.

What is Jose Abreu Arbelo's specialty?

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

Is Jose Abreu Arbelo enrolled in Medicare?

Yes. Jose Abreu Arbelo 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 Jose Abreu Arbelo affiliated with any hospitals?

According to CMS data, Jose Abreu Arbelo is affiliated with Presbyterian Community Hosp and Auxilio Mutuo Hospital.

When was this NPI record last updated?

The NPPES record for Jose Abreu Arbelo was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.