2026 NPPES data Adult Medicine Physician NPI 1518973411 M.D.
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RAFAEL MARRERO, M.D.

Adult Medicine Physician in AIBONITO, Puerto Rico. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
14K
Medicare Part D claims · 571 beneficiaries · Adult Medicine Physician avg: 3K
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
What the federal data reveals: RAFAEL MARRERO, M.D. is a Adult Medicine Physician ([object Object]) practicing in AIBONITO, Puerto Rico with a Medicare Part D prescribing footprint of 14K claims across 571 beneficiaries — 12% brand-name prescribing .

What stands out: RAFAEL MARRERO, M.D. filed 14,372 Medicare Part D claims in 2023 across AIBONITO, Puerto Rico. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board-eligible specialty (heuristic — not verified)

RAFAEL MARRERO, 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).

RAFAEL MARRERO, M.D. at a glance

Quality data not reported

NPI registry status

Active

Issued 07/31/2006

NPI 1518973411

Primary specialty

Adult Medicine Physician

Niche

2,481 US NPIs in this specialty

Medicare Part D claims

14,372 412% vs specialty avg

2023 prescription claims

Specialty avg: 2,807

Specialty distribution in Puerto Rico

How Adult Medicine Physician compares to other specialties among Puerto Rico providers

Puerto Rico providers

Adult Medicine Physician share within Puerto Rico

1. Adult Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Adult Medicine Physician share within Puerto Rico

Specialty board-certification context

Estimated specialty board-certified rate — Adult Medicine Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Adult Medicine Physician ABMS/AOA estimate

Est. board-certified rate (Adult Medicine Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Adult Medicine Physician) — ABMS / AOA estimate

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 MARRERO, M.D. is a Adult Medicine Physician provider practicing in AIBONITO, Puerto Rico, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1518973411. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

RAFAEL MARRERO, M.D. appears in the CMS NPPES registry as a Adult Medicine Physician provider holding M.D. credentials at CALLE PEDRO ROSARIO NUM.20, AIBONITO, PR, 00705, with a listed phone of (787) 735-1075. NPI 1518973411 was issued on 07/31/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MARRERO most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 14,372 prescription claims written by this provider, covering 571 Medicare beneficiaries and totaling roughly $641K in drug spend, split 12% brand-name and 88% generic by claim count, with an opioid prescribing rate of 1.5%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Adult Medicine Physician is a narrow specialty nationwide, with 2,481 enrolled providers across 52 states and an average of 2,807 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

CALLE PEDRO ROSARIO NUM.20
AIBONITO, PR 00705

Provider Details

NPI 1518973411
Specialty Adult Medicine Physician
Credentials M.D.
Gender Male
NPI Issued 07/31/2006

Brand vs generic prescribing mix · Typical

RAFAEL MARRERO, M.D. — brand share 12.0%
Specialty average (est.)

12% brand-name claims vs 88% generic, on 14,372 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.

14,372
Total Claims
$641K
Total Drug Cost
571
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
23,125
Total Day Supply
672,607
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$476K
Generic Drug Cost
$158K
Opioid Claims
222 (1.5% rate)
Antibiotic Claims
296

Patient Demographics

Average Patient Age
73.3 years
Avg HCC Risk Score
1.82
Gender Split
57% female / 43% male
Age Distribution
<65: 105, 65-74: 181, 75-84: 203, 85+: 82

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Levothyroxine Sodium
996
Gabapentin
672
Simvastatin
556
Alendronate Sodium
493
Metformin Hcl
460
Losartan Potassium
410
Lisinopril
394
Synthroid
Levothyroxine Sodium
368
Atorvastatin Calcium
363
Clonazepam
312

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Adult Medicine Physician Overview

How RAFAEL MARRERO, M.D. fits within the Adult Medicine Physician landscape nationally.

2,481
Adult Medicine Physician Providers in US
52
States with Adult Medicine Physician
2,807
Avg Claims per Provider

RAFAEL MARRERO, M.D.'s 14,372 claims are above the specialty average of 2,807.

Nearby Adult Medicine Physician Providers in Puerto Rico

Other clinicians with the same primary specialty enrolled in Puerto Rico, drawn from the same CMS NPPES roster as MARRERO.

Compare Adult Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is RAFAEL MARRERO, M.D.'s specialty?
RAFAEL MARRERO, M.D. specializes in Adult Medicine Physician and practices in AIBONITO, Puerto Rico. Credentials: M.D..
How much does RAFAEL MARRERO, M.D. prescribe under Medicare Part D?
In 2023, RAFAEL MARRERO, M.D. wrote 14,372 Medicare Part D claims totaling $641K in drug costs for 571 beneficiaries.
Where is RAFAEL MARRERO, M.D. located?
RAFAEL MARRERO, M.D. is located at CALLE PEDRO ROSARIO NUM.20, AIBONITO, PR, 00705. Phone: (787) 735-1075.
What is RAFAEL MARRERO, M.D.'s NPI number?
RAFAEL MARRERO, M.D.'s National Provider Identifier (NPI) is 1518973411, issued on 07/31/2006.
Does RAFAEL MARRERO, M.D. prescribe more brand-name or generic drugs?
RAFAEL MARRERO, M.D.'s prescribing is 12% brand-name and 88% generic drugs by claim count, with $476K in brand drug costs.
Does RAFAEL MARRERO, M.D. prescribe opioids?
Yes, RAFAEL MARRERO, M.D. had 222 opioid claims in 2023 with an opioid prescribing rate of 1.5%.
How many Adult Medicine Physician providers are there in the US?
There are 2,481 Adult Medicine Physician providers across 52 states in the US. The average Adult Medicine Physician provider writes 2,807 Medicare Part D claims per year.
What drugs does RAFAEL MARRERO, M.D. prescribe most often?
Based on 2023 Medicare Part D data, RAFAEL MARRERO, M.D.'s most frequently prescribed drugs include Levothyroxine Sodium, Gabapentin, Simvastatin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does RAFAEL MARRERO, M.D. accept Medicare?
RAFAEL MARRERO, M.D. appears in CMS Medicare data with 14,372 Part D claims and 571 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RAFAEL MARRERO, M.D.'s credentials?
RAFAEL MARRERO, M.D.'s NPI is 1518973411 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

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