NPPES file of Aug 9, 2026

Rafael F. Cardona Duran, M.D.

Neurological Surgery Physician · Guaynabo, PR

Rafael F. Cardona Duran, M.D. is a neurological surgery physician with a practice address in Guaynabo, Puerto Rico, and NPI 1396948840, issued on Jun 11, 2007. Check the license (Puerto Rico 13634, as entered in NPPES) with the Puerto Rico board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1396948840
Name
Rafael F. Cardona Duran
Credential
M.D.
Primary taxonomy
Neurological Surgery Physician 207T00000X
License number
13634 PR
Self-reported in NPPES; status is on the state search
Practice location
Carr 199 KM 12 Ave Las Cumbres, Guaynabo, PR 00965
Phone
(787) 243-7080
Enumerated
Jun 11, 2007
Record last updated
Sep 6, 2018 (not updated in 8 years: call before relying on the address or phone)
Fax
(888) 373-4866
Medicare enrollment
Enrolled (PECOS I20101025001198); accepts Medicare assignment
Medical or professional school
University Of Puerto Rico School Of Medicine, 2009
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Verify Rafael F. Cardona Duran in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Puerto Rico board licenses this profession
    Search for license 13634
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Puerto Rico license search

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1% more Medicare Part D claims than the average neurological surgery physician in 2024

173 Medicare Part D claims for 97 beneficiaries, against an average of 172 among the 4,378 providers of this specialty who prescribed in Part D. Brand-name drugs were 16% of claims.

  1. Rafael Cardona Duran173
  2. Specialty average172

Most prescribed

  1. Mupirocin67 claims
  2. Gabapentin48 claims
  3. Teriparatide15 claims
  4. Evenity (2 Syringes)12 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

Industry payments in 2024: $7,553.42

13 payments; by number, the most common kind was food and beverage; the largest payer was Globus Medical, Inc. The 5,377 providers of this specialty with any payment received $14,925.58 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Rafael Cardona Duran$7,553
  2. Specialty average$14,926

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Rafael F. Cardona Duran among 45 neurological surgery physician records in Puerto Rico

Rafael F. Cardona Duran, M.D. is one of 45 neurological surgery physician records with a practice address in Puerto Rico. 71% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 40% of them.

  • NPI issued2007 · 40% of these records are older, 40% newer
  • In a Medicare fileYes · 71% of these records are
  • In the CMS Doctors and Clinicians fileYes · 62% of these records are
  • Graduated2009 · median 2001 among the 28 with a school on file
  • Record last updated2018 · 64% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207T00000X and a Puerto Rico practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Neurological Surgery Physician providers in Puerto Rico

There are 45 neurological surgery physician records in Puerto Rico.

The 8 neurological surgery physician records with the nearest ZIP codes

  1. Edwin Piazza, MDBayamon, PR 009611558336727
  2. Julio Rosado, M.D.Bayamon, PR 009611255381208
  3. Frankie Baez, M.D.Bayamon, PR 009591720281728
  4. Antonio Alvarez-Berdecia, MDSan Juan, PR 009361780861740
  5. Orlando De JesusSan Juan, PR 009361477527729
  6. Jaime Inserni, M.D.San Juan, PR 009361932136421
  7. Erwin Rayo LopezSan Juan, PR 009361790074904
  8. Michael Lopez, MDSan Juan, PR 009351902644164

Common questions

What is Rafael F. Cardona Duran, M.D.'s NPI number?

Rafael F. Cardona Duran, M.D.'s National Provider Identifier (NPI) is 1396948840, issued on Jun 11, 2007. An NPI identifies a provider in billing; it is not a license.

Where is Rafael F. Cardona Duran, M.D. located?

The NPPES record lists a practice address at Carr 199 KM 12 Ave Las Cumbres, Guaynabo, PR, 00965. Phone: (787) 243-7080. Providers update this record themselves, so call before visiting.

How can I verify Rafael F. Cardona Duran, M.D.'s license?

NPPES lists Puerto Rico license number 13634, as entered by the provider. Search the Puerto Rico board that licenses this profession; the NPPES record confirms identity only.

How much does Rafael F. Cardona Duran, M.D. prescribe under Medicare Part D?

In 2024, Rafael F. Cardona Duran, M.D. had 173 Medicare Part D claims for 97 beneficiaries; the average among neurological surgery physician prescribers was 172. Part D covers Medicare prescriptions only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.