DR. RAFAEL BERRIOS-MARCANO M.D.
NPI 1861542243
Obstetrics & Gynecology in Bayamon, PR

Active since January 10, 2007PECOS EnrolledAccepts Medicare Assignment
66 CALLE SANTA CRUZ, INSTITUTO SAN PABLO STE. 510, BAYAMON, PR 00961(787) 787-1055(787) 786-3398 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Rafael Berrios-marcano M.d. NPPES

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

DR. RAFAEL BERRIOS-MARCANO M.D. (NPI 1861542243) is an individual obstetrics & gynecology provider in Bayamon, Puerto Rico, licensed in Puerto Rico (9426) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of University Central Del Caribe Escuela De Medicina (1985).

NPPES Registry Identity

NPI1861542243
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. RAFAEL BERRIOS-MARCANOCredential: M.D.
Location Address66 CALLE SANTA CRUZ, INSTITUTO SAN PABLO STE. 510Bayamon, PR 00961-7041
Mailing Address66 Calle Santa Cruz, Instituto San Pablo Ste. 510Bayamon, PR 00961-7041 · (787) 787-1055 · Fax (787) 786-3398
Fax(787) 786-3398
Sole ProprietorYes
Medical School CMSUniversity Central Del Caribe Escuela De MedicinaGraduated 1985
Enumeration DateJanuary 10, 2007
Last NPPES UpdateJuly 9, 2007
NPI 1861542243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in PR · 9426
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
66 CALLE SANTA CRUZ, Bayamon, PR 00961

Other Identifiers 9

Medicare UPIN6190097PR
Medicare UPIN81564BEPR
Medicare UPIN067487PR
Medicare UPIN3688PR
Medicare ID-Type Unspecified81564BEPR · Medicare
Medicare UPIN209234PR
Medicare UPINPE1992PR
Medicare UPIN070026PR
Medicare UPIN3016PR

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 Berrios-marcano 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 ID4082789573
PECOS Enrollment IDI20080818000763
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00961 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
$130.65 typical visit price
range $56.86 – $172.44
Typical copayment $32.66 (range $14.21 – $43.11)
Most-billed visit code 99204
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.

Other Providers at the Same Location NPPES 20

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

Clinic/Center (Oncology)
66 CALLE SANTA CRUZ, INST. SAN PABLO SUITE 509
BAYAMON, PR 00961
Internal Medicine (Cardiovascular Disease)
66 CALLE SANTA CRUZ, INST SAN PABLO OFIC 202
BAYAMON, PR 00961
Pediatrics
66 CALLE SANTA CRUZ, INST. SAN PABLO SUITE 410
BAYAMON, PR 00961
Internal Medicine (Pulmonary Disease)
66 CALLE SANTA CRUZ, SUITE 404 INSTITUTO SAN PABLO
BAYAMON, PR 00961
Clinic/Center (Medical Specialty)
66 CALLE SANTA CRUZ, INSTITUTO SAN PABLO, SUITE 502
BAYAMON, PR 00961
Physical Medicine & Rehabilitation
66 CALLE SANTA CRUZ, INSTITUTO SAN PABLO SUITE 301
BAYAMON, PR 00961
Psychiatry & Neurology (Psychiatry)
66 CALLE SANTA CRUZ, SUITE 508 INSTITUTO SAN PABLO
BAYAMON, PR 00961
Speech-Language Pathologist
66 CALLE SANTA CRUZ, INSTITUTO SAN PABLO STE. 407
BAYAMON, PR 00961

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 Berrios-marcano's NPI number?

The NPI number for Rafael Berrios-marcano is 1861542243. It was assigned to this individual provider in the NPPES registry on January 10, 2007.

Where is Rafael Berrios-marcano located?

Rafael Berrios-marcano practices at 66 Calle Santa Cruz Instituto San Pablo Ste. 510, Bayamon, PR 00961. The listed phone number is (787) 787-1055.

What is Rafael Berrios-marcano's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Rafael Berrios-marcano enrolled in Medicare?

Yes. Rafael Berrios-marcano 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.

When was this NPI record last updated?

The NPPES record for Rafael Berrios-marcano was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.