Dr Rafael Matos, MD - Medicare Internal Medicine in Mayaguez, PR

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Dr Rafael Matos, MD is a medicare enrolled "Internal Medicine" physician in Mayaguez, Puerto Rico. He graduated from medical school in 1985 and has 39 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Costa Salud Community Health Centers Inc and his current practice location is 59b Calle Meditacion, Mayaguez, Puerto Rico. You can reach out to his office (for appointments etc.) via phone at (787) 834-2130.

Dr Rafael Matos is licensed to practice in Puerto Rico (license number 10360) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1043247893.

Contact Information

Dr Rafael Matos, MD
59b Calle Meditacion,
Mayaguez, PR 00680-4818
(787) 834-2130
(787) 834-2010

Map and Direction




Physician's Profile

Full NameDr Rafael Matos
GenderMale
SpecialityInternal Medicine
Experience39 Years
Location59b Calle Meditacion, Mayaguez, Puerto Rico
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Rafael Matos graduated from medical school in 1985
  NPI Data:
  • NPI Number: 1043247893
  • Provider Enumeration Date: 06/27/2006
  • Last Update Date: 08/14/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 8022322965
  • Enrollment ID: I20150805007875

Medical Identifiers

Medical identifiers for Dr Rafael Matos such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043247893NPI-NPPES
11324-04004780OtherPRUNITED HEALTH CARE
PE3595OtherPRPANAMERICAN
116-10360OtherPRPLAN GLOBAL
212071OtherPRUTI
00638OtherPRCRUZ AZUL
58392926OtherPRSALUD BELLA VISTA
6800131OtherPRHUMANA INSURANCE
88848MAOtherPRTRIPLE-S
3732726OtherPRFAMILY CARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 10360 (Puerto Rico)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Costa Salud Community Health Centers Inc195137002213

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Rafael Matos allows following entities to bill medicare on his behalf.
Entity NameCosta Salud Community Health Centers Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912997768
PECOS PAC ID: 1951370022
Enrollment ID: O20040927000712

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Rafael Matos is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Rafael Matos, MD
Po Box 937,
Mayaguez, PR 00681-0937

Ph: (787) 834-2130		Dr Rafael Matos, MD
59b Calle Meditacion,
Mayaguez, PR 00680-4818

Ph: (787) 834-2130

Reviews and Comments


Internal Medicine Doctors in Mayaguez, PR

Rey Antonio Aponte-rivera, MD
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Jose A Perez Hernandez Sr., MD
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Phone: 787-833-6940    
Gerardo J Medina Caban, MD
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Practice Location: 1050 Los Corazones Ave, Suite 102, Mayaguez, PR 00680
Phone: 787-834-5334    Fax: 787-833-6640
Dr. Carlos Micames Muzaber, M.D., F.A.C.P.
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Medicare: Accepting Medicare Assignments
Practice Location: 55 Calle Dr Basora 55 Norte Edicicio Medico Iv, Suite 111, Mayaguez, PR 00680
Phone: 787-833-4865    Fax: 787-265-4757
Armando Oscar Cardona-ramirez, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 55 De Diego E, Ste 401 Cpr Professional Building, Mayaguez, PR 00680
Phone: 787-832-0000    Fax: 787-265-4335
Edgar J Vazquez, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: Calle Mckinley 111 Este, Mayaguez, PR 00680
Phone: 787-833-8005    Fax: 787-265-6177

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.