NPI registry status
Active
2026 NPPES data General Practice Physician NPI 1851319636 MD
Verify on CMS → Rafael Hernandez, MD
General Practice Physician in Santurce, 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 16,725 in General Practice 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
4K
Medicare Part D claims · 194 beneficiaries · General Practice Physician avg: 3K
Industry payments
$35.69
1 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Rafael Hernandez, MD filed 3,836 Medicare Part D claims in 2023 as a General Practice Physician in Santurce, Puerto Rico.
- 4K
- Part D claims, 2023
- $35.69
- 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 Hernandez, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
3,836 Top 9% higher than 91% 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 Hernandez, MD 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 Hernandez, MD?
Quality data not reportedPrimary specialty
General Practice Physician
Medicare Part D claims
3,836 34% vs specialty avg
Specialty distribution in Puerto Rico
How General Practice 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 General Practice 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 Hernandez, MD appears in the CMS NPPES registry as a General Practice Physician provider holding MD credentials at 709 CALLE MIRAMAR, Santurce, PR, 00907, with a listed phone of (787) 376-9091. NPI 1851319636 was issued on 07/18/2006.
Medicare Part D records for calendar year 2023 show 3,836 prescription claims written by this provider, covering 194 Medicare beneficiaries and totaling roughly $333K in drug spend, with an opioid prescribing rate of 0.8%.
General Practice Physician is a mid-sized specialty nationwide, with 16,725 enrolled providers across 56 states and an average of 2,872 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 | 1851319636 |
|---|---|
| Specialty | General Practice Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 07/18/2006 |
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 Hernandez, MD. Source: openpaymentsdata.cms.gov.
Total received
$36
Largest payer
ZIMVIE INC.
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.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
3,836
Total Claims
$333K
Total Drug Cost
194
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 8,337
- Total Day Supply
- 244,880
- Generic Drug Cost
- $73K
- Opioid Claims
- 30 (0.8% rate)
- Antibiotic Claims
- 17
Patient Demographics
- Average Patient Age
- 72.8 years
- Avg HCC Risk Score
- 1.57
- Gender Split
- 40% female / 60% male
- Age Distribution
- <65: 16, 65-74: 92, 75-84: 70, 85+: 16
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Rafael Hernandez, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Losartan Potassium
Losartan Potassium
379 claims
- Atorvastatin Calcium
Atorvastatin Calcium
347 claims
- Metoprolol Succinate
Metoprolol Succinate
231 claims
- Alprazolam
Alprazolam
190 claims
- Amlodipine Besylate
Amlodipine Besylate
171 claims
- Metformin Hcl
Metformin Hcl
153 claims
- Omeprazole
Omeprazole
153 claims
- Ibandronate Sodium 124
Ibandronate Sodium
124 claims
| Drug | Claims |
|---|---|
| Losartan Potassium | 379 |
| Atorvastatin Calcium | 347 |
| Metoprolol Succinate | 231 |
| Alprazolam | 190 |
| Amlodipine Besylate | 171 |
| Metformin Hcl | 153 |
| Omeprazole | 153 |
| Ibandronate Sodium | 124 |
| Simvastatin | 102 |
| Glimepiride | 96 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
General Practice Physician Overview
How Rafael Hernandez, MD fits within the General Practice Physician landscape nationally.
16,725
General Practice Physician Providers in US
56
States with General Practice Physician
2,872
Avg Claims per Provider
Rafael Hernandez, MD's 3,836 claims are above the specialty average of 2,872.
Nearby General Practice Physician Providers in Puerto Rico
Other clinicians with the same primary specialty enrolled in Puerto Rico, drawn from the same CMS NPPES roster as Hernandez.
Dr. Veronica Abraham
MD
San Juan, PR
Dr. Manuel Abraham Gonzalez
M.D.
San Juan, PR
Dr. Jennifer Abraham Vega
MD
San Juan, PR
Dr. Jose M. Abreu Guzman
M.D.
Manati, PR
Dr. Steven Abreu Reyes
M.D.
Las Piedras, PR
Compare General Practice 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 General Practice 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.
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Frequently Asked Questions
What is Rafael Hernandez, MD's specialty? ▼
Rafael Hernandez, MD specializes in General Practice Physician and practices in Santurce, Puerto Rico. Credentials: MD.
How much does Rafael Hernandez, MD prescribe under Medicare Part D? ▼
In 2023, Rafael Hernandez, MD wrote 3,836 Medicare Part D claims totaling $333K in drug costs for 194 beneficiaries.
Where is Rafael Hernandez, MD located? ▼
Rafael Hernandez, MD is located at 709 CALLE MIRAMAR, Santurce, PR, 00907. Phone: (787) 376-9091.
What is Rafael Hernandez, MD's NPI number? ▼
Rafael Hernandez, MD's National Provider Identifier (NPI) is 1851319636, issued on 07/18/2006.
Does Rafael Hernandez, MD prescribe opioids? ▼
Yes, Rafael Hernandez, MD had 30 opioid claims in 2023 with an opioid prescribing rate of 0.8%.
How many General Practice Physician providers are there in the US? ▼
There are 16,725 General Practice Physician providers across 56 states in the US. The average General Practice Physician provider writes 2,872 Medicare Part D claims per year.
What drugs does Rafael Hernandez, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Rafael Hernandez, MD's most frequently prescribed drugs include Losartan Potassium, Atorvastatin Calcium, Metoprolol Succinate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Rafael Hernandez, MD accept Medicare? ▼
Rafael Hernandez, MD appears in CMS Medicare data with 3,836 Part D claims and 194 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Rafael Hernandez, MD's credentials? ▼
Rafael Hernandez, MD's NPI is 1851319636 with credentials MD. 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.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.