DR. RAFAEL DIAZ GABRIEL M.D.
NPI 1285656579
General Practice in Guaynabo, PR

NPI Status: Active since July 24, 2006

Contact Information

9 CALLE MUNOZ RIVERA
GUAYNABO, PR
ZIP 00969
Phone: (787) 720-2871

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  • Individual
  • Male
  • General Practice
  • PECOS Enrolled
  • CLIA Number: 40D2117495
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 08-16-2026

About RAFAEL DIAZ GABRIEL

This page provides the complete NPI Profile along with additional information for Rafael Diaz Gabriel, a primary care provider established in Guaynabo, Puerto Rico with a medical specialization in General Practice. The healthcare provider is registered in the NPI registry with number 1285656579 assigned on July 2006. The practitioner's primary taxonomy code is 208D00000X with license number 5236 (PR). The provider is registered as an individual and his NPI record was last updated 15 years ago.

NPI
1285656579
Provider Name
DR. RAFAEL DIAZ GABRIEL M.D.
Gender
Male
Entity Type
Individual
Location Address
9 CALLE MUNOZ RIVERA GUAYNABO, PR 00969
Location Phone
(787) 720-2871
Mailing Address
COND HATO REY PLZ APTO. 16 E SAN JUAN, PR 00918
Mailing Phone
(787) 751-5052
Is Sole Proprietor?
Yes
Enumeration Date
07-24-2006
Last Update Date
08-16-2010
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A primary care provider (PCP) like Rafael Diaz Gabriel sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

General Practice

Taxonomy Code
208D00000X
Type
Allopathic & Osteopathic Physicians
License No.
5236
License State
PR
Taxonomy Description
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Medicare Participation & PECOS Enrollment Status

Rafael Diaz Gabriel is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
40D2117495
Facility Type
Physician Office
Certificate Effective Date
August 17, 2024
Certificate Expiration Date
August 16, 2026
Laboratory Director
DR. RAFAEL ZARAGOZA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Rafael Diaz Gabriel to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1285656579
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2216512512514
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 1 + 2 + 5 + 1 + 2 + 5 + 1 + 4 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1285656579 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1770149627 DAYANA VELAZQUEZ
Individual
Social Worker9 CALLE MUNOZ RIVERA
GUAYNABO, PR 00969
(787) 708-6323

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285656579, enumerated in the NPI registry as an "individual" on July 24, 2006

The provider is located at 9 Calle Munoz Rivera Guaynabo, Pr 00969 and the phone number is (787) 720-2871

The provider's speciality is General Practice with taxonomy code 208D00000X

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The provider's CLIA number is 40D2117495 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on July 24, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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