Look up the most recent NPI and PECOS records

Rafael Jose Justiniano

General Practice

Allopathic & Osteopathic Physicians

351 Ave Hostos Edificio Medical Emporium 1, Suite 110, Mayaguez, PR 00680-1502

PECOS Enrollment

This provider is enrolled in PECOS as RAFAEL JUSTINIANO.

Based on the most recent information from CMS, provider Rafael Jose Justiniano is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1619208089
Provider Type
Individual
Full Name
Justiniano, Rafael Jose
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
1/24/2010
Last Updated
1/26/2026

Contact Information

Practice Location

351 Ave Hostos Edificio Medical Emporium 1, Suite 110, Mayaguez, PR 00680-1502

(787) 834-7740

(787) 652-4525

Mailing Location

PO Box 3149, Marina Station, Mayaguez, PR 00681-3149

(787) 834-7740

(787) 652-4525

Provider Taxonomies

Code	Description	License
Code 208D00000X Primary	Description General Practice Allopathic & Osteopathic Physicians	License 17674 Puerto Rico

Rafael Jose Justiniano

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Chaudhary, Shahid M

Becerra Roman, Isabel Maria

Prevenwell, L.L.C.

Meddyg Group Llc

Saludaware, Llc

Rodriguez, Francisco Xavier

Rivera Natali, Luis Antonio

Perez Tijerina, Rosa Y

Soto, Natalia M

Illanas Hernandez, Jorge Carlos