NPI registry status
Active
2026 NPPES data Pulmonary Disease Physician NPI 1063472983 M.D.
Verify on CMS → Rafael Franjul Juliao, M.D.
Pulmonary Disease Physician in San Juan, Puerto Rico.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 9,271 in Pulmonary Disease Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
1K
Medicare Part D claims · 359 beneficiaries · Pulmonary Disease Physician avg: 1K
Generic prescribing
42%
generic claims · 58% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$244.99
2 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Rafael Franjul Juliao, M.D. filed 1,271 Medicare Part D claims in 2023 as a Pulmonary Disease Physician in San Juan, Puerto Rico, prescribing 42% generic.
- 1K
- Part D claims, 2023
- 42%
- generic prescribing
- $244.99
- industry payments (Sunshine Act)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Rafael Franjul Juliao, M.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
1,271 Top 22% higher than 78% of 1,370,886 prescribers
Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Medicare Part D Prescriber Public Use File · 2023
◑
Board-eligible specialty (heuristic, not verified)
Rafael Franjul Juliao, M.D. practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Rafael Franjul Juliao, M.D.?
Quality data not reportedPrimary specialty
Pulmonary Disease Physician
Medicare Part D claims
1,271 13% vs specialty avg
Specialty distribution in Puerto Rico
How Pulmonary Disease Physician compares to other specialties among Puerto Rico providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Pulmonary Disease Physician. Verify directly:
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Rafael Franjul Juliao, M.D. appears in the CMS NPPES registry as a Pulmonary Disease Physician provider holding M.D. credentials at 400 AVE DOMENECH STE 210, San Juan, PR, 00918, with a listed phone of (787) 759-3033. NPI 1063472983 was issued on 03/24/2006.
Medicare Part D records for calendar year 2023 show 1,271 prescription claims written by this provider, covering 359 Medicare beneficiaries and totaling roughly $308K in drug spend, split 58% brand-name and 42% generic by claim count.
Pulmonary Disease Physician is a mid-sized specialty nationwide, with 9,271 enrolled providers across 53 states and an average of 1,457 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline.
Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.
Practice Address
Provider Details
| NPI | 1063472983 |
|---|---|
| Specialty | Pulmonary Disease Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 03/24/2006 |
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Rafael Franjul Juliao, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$245
Largest payer
AstraZeneca Pharmaceuticals LP
Most common payment type
Food and Beverage
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
Brand vs generic prescribing mix · Brand-heavy
Rafael Franjul Juliao, M.D. - brand share 58.0%
Pulmonary Disease Physician average
58% brand-name claims vs 42% generic, on 1,271 2023 Medicare Part D claims.
The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
1,271
Total Claims
$308K
Total Drug Cost
359
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 1,576
- Total Day Supply
- 45,034
- Brand vs Generic
- 58% brand / 42% generic
- Brand Drug Cost
- $289K
- Generic Drug Cost
- $19K
- Antibiotic Claims
- 13
Patient Demographics
- Average Patient Age
- 71.6 years
- Avg HCC Risk Score
- 1.88
- Gender Split
- 72% female / 28% male
- Age Distribution
- <65: 59, 65-74: 172, 75-84: 94, 85+: 34
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Rafael Franjul Juliao, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Fluticasone Propio…
Fluticasone Propionate
229 claims
- Symbicort
Symbicort
158 claims
- Trelegy Ellipta
Trelegy Ellipta
143 claims
- Levalbuterol Tartr… 78
Levalbuterol Tartrate Hfa
78 claims
- Montelukast Sodium 72
Montelukast Sodium
72 claims
- Breo Ellipta 70
Breo Ellipta
70 claims
- Budesonide-Formote… 51
Budesonide-Formoterol Fumarate
51 claims
- Flovent Hfa 44
Flovent Hfa
44 claims
| Drug | Claims |
|---|---|
| Fluticasone Propionate | 229 |
| Symbicort Budesonide/Formoterol Fumarate | 158 |
| Trelegy Ellipta Fluticasone/Umeclidin/Vilanter | 143 |
| Levalbuterol Tartrate Hfa Levalbuterol Tartrate | 78 |
| Montelukast Sodium | 72 |
| Breo Ellipta Fluticasone/Vilanterol | 70 |
| Budesonide-Formoterol Fumarate Budesonide/Formoterol Fumarate | 51 |
| Flovent Hfa Fluticasone Propionate | 44 |
| Advair Hfa Fluticasone Propion/Salmeterol | 38 |
| Wixela Inhub Fluticasone Propion/Salmeterol | 38 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Pulmonary Disease Physician Overview
How Rafael Franjul Juliao, M.D. fits within the Pulmonary Disease Physician landscape nationally.
9,271
Pulmonary Disease Physician Providers in US
53
States with Pulmonary Disease Physician
1,457
Avg Claims per Provider
Rafael Franjul Juliao, M.D.'s 1,271 claims are below the specialty average of 1,457.
Nearby Pulmonary Disease Physician Providers in Puerto Rico
Other clinicians with the same primary specialty enrolled in Puerto Rico, drawn from the same CMS NPPES roster as Franjul Juliao.
Dr. Edgardo Adorno-Fontanez
MD
Guaynabo, PR
Dr. Carlos Alcala Marquez
M.D.
San Juan, PR
Dr. Frankie Alvarado
M.D.
San Juan, PR
Dr. Samuel Amill-Acosta
M.D., FCCP
Manati, PR
Dr. Alvaro Aranda- Rodriguez
MD
Guaynabo, PR
Compare Pulmonary Disease Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Puerto Rico medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Pulmonary Disease Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
Healthcare Guides
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Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
Explore Puerto Rico
Frequently Asked Questions
What is Rafael Franjul Juliao, M.D.'s specialty? ▼
Rafael Franjul Juliao, M.D. specializes in Pulmonary Disease Physician and practices in San Juan, Puerto Rico. Credentials: M.D..
How much does Rafael Franjul Juliao, M.D. prescribe under Medicare Part D? ▼
In 2023, Rafael Franjul Juliao, M.D. wrote 1,271 Medicare Part D claims totaling $308K in drug costs for 359 beneficiaries.
Where is Rafael Franjul Juliao, M.D. located? ▼
Rafael Franjul Juliao, M.D. is located at 400 AVE DOMENECH STE 210, San Juan, PR, 00918. Phone: (787) 759-3033.
What is Rafael Franjul Juliao, M.D.'s NPI number? ▼
Rafael Franjul Juliao, M.D.'s National Provider Identifier (NPI) is 1063472983, issued on 03/24/2006.
Does Rafael Franjul Juliao, M.D. prescribe more brand-name or generic drugs? ▼
Rafael Franjul Juliao, M.D.'s prescribing is 58% brand-name and 42% generic drugs by claim count, with $289K in brand drug costs.
How many Pulmonary Disease Physician providers are there in the US? ▼
There are 9,271 Pulmonary Disease Physician providers across 53 states in the US. The average Pulmonary Disease Physician provider writes 1,457 Medicare Part D claims per year.
What drugs does Rafael Franjul Juliao, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Rafael Franjul Juliao, M.D.'s most frequently prescribed drugs include Fluticasone Propionate, Symbicort, Trelegy Ellipta. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Rafael Franjul Juliao, M.D. accept Medicare? ▼
Rafael Franjul Juliao, M.D. appears in CMS Medicare data with 1,271 Part D claims and 359 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Rafael Franjul Juliao, M.D.'s credentials? ▼
Rafael Franjul Juliao, M.D.'s NPI is 1063472983 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Compiled from official public sources by the PlainDoctor editorial team.