2026 NPPES data General Practice Physician NPI 1790240521 MD
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Rafael Rodriguez, MD

General Practice 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 16,677 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
10K
Medicare Part D claims · 324 beneficiaries · General Practice Physician avg: 3K
Generic prescribing
88%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$18.74
1 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Rafael Rodriguez, MD filed 9,769 Medicare Part D claims in 2023 as a General Practice Physician in San Juan, Puerto Rico, prescribing 88% generic.

10K
Part D claims, 2023
88%
generic prescribing
$18.74
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 Rodriguez, MD's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

9,769 Top 2% higher than 98% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). Below this entry. 2,000–2,200: 213,991 prescribers (16%). This entry sits in this band. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

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 Rodriguez, 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 Rodriguez, MD?

Quality data not reported

NPI registry status

Active

Issued 02/06/2019

NPI 1790240521

Primary specialty

General Practice Physician

Mid-sized

16,677 US NPIs in this specialty

Medicare Part D claims

9,769 240% vs specialty avg

2023 prescription claims

Specialty avg: 2,872

Specialty distribution in Puerto Rico

How General Practice Physician compares to other specialties among Puerto Rico providers

Puerto Rico providers

Largest specialties in Puerto Rico (% of in-state providers)

General Practice Physician — 10%General Practice Physician10%Student in an Organized Health Care Education/Training Program — 8.9%Student in an Organized Health Care Education/Training Program8.9%Pharmacist — 8%Pharmacist8%Pharmacy Technician — 5.1%Pharmacy Technician5.1%Clinical Psychologist — 4.7%Clinical Psychologist4.7%Clinical Social Worker — 4.2%Clinical Social Worker4.2%
Largest specialties in Puerto Rico (% of in-state providers)

Specialty board-certification context

Estimated specialty board-certified rate — General Practice Physician (ABMS / AOA reference)

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

Est. board-certified rate (General Practice Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (General Practice 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 Rodriguez, MD appears in the CMS NPPES registry as a General Practice Physician provider holding MD credentials at 1115 CALLE 40 SE, San Juan, PR, 00921, with a listed phone of (787) 918-0621. NPI 1790240521 was issued on 02/06/2019. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Rodriguez 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 9,769 prescription claims written by this provider, covering 324 Medicare beneficiaries and totaling roughly $366K in drug spend, split 11% brand-name and 88% generic by claim count, with an opioid prescribing rate of 1.9%. 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.

General Practice Physician is a mid-sized specialty nationwide, with 16,677 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

1115 CALLE 40 SE
San Juan, PR 00921

Provider Details

NPI 1790240521
Specialty General Practice Physician
Credentials MD
Gender Male
NPI Issued 02/06/2019

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 Rodriguez, MD. Source: openpaymentsdata.cms.gov.

Total received

$19

Largest payer

Boston Scientific Corporation

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 · Typical

Rafael Rodriguez, MD — brand share 11.0%
General Practice Physician average

11% brand-name claims vs 88% generic, on 9,769 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.

9,769
Total Claims
$366K
Total Drug Cost
324
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
12,476
Total Day Supply
354,783
Brand vs Generic
11% brand / 88% generic
Brand Drug Cost
$256K
Generic Drug Cost
$107K
Opioid Claims
183 (1.9% rate)
Antibiotic Claims
175

Patient Demographics

Average Patient Age
68.9 years
Avg HCC Risk Score
1.31
Gender Split
46% female / 54% male
Age Distribution
<65: 94, 65-74: 129, 75-84: 77, 85+: 24

Top Prescribed Drugs (Medicare Part D)

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

What Rafael Rodriguez, MD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Atorvastatin Calcium
703
Gabapentin
536
Losartan Potassium
397
Simvastatin
387
Metformin Hcl
381
Synthroid
Levothyroxine Sodium
365
Omeprazole
314
Hydrochlorothiazide
299
Amlodipine Besylate
245
Enalapril Maleate
243

* 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 Rodriguez, MD fits within the General Practice Physician landscape nationally.

16,677
General Practice Physician Providers in US
56
States with General Practice Physician
2,872
Avg Claims per Provider

Rafael Rodriguez, MD's 9,769 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 Rodriguez.

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.

Frequently Asked Questions

What is Rafael Rodriguez, MD's specialty?
Rafael Rodriguez, MD specializes in General Practice Physician and practices in San Juan, Puerto Rico. Credentials: MD.
How much does Rafael Rodriguez, MD prescribe under Medicare Part D?
In 2023, Rafael Rodriguez, MD wrote 9,769 Medicare Part D claims totaling $366K in drug costs for 324 beneficiaries.
Where is Rafael Rodriguez, MD located?
Rafael Rodriguez, MD is located at 1115 CALLE 40 SE, San Juan, PR, 00921. Phone: (787) 918-0621.
What is Rafael Rodriguez, MD's NPI number?
Rafael Rodriguez, MD's National Provider Identifier (NPI) is 1790240521, issued on 02/06/2019.
Does Rafael Rodriguez, MD prescribe more brand-name or generic drugs?
Rafael Rodriguez, MD's prescribing is 11% brand-name and 88% generic drugs by claim count, with $256K in brand drug costs.
Does Rafael Rodriguez, MD prescribe opioids?
Yes, Rafael Rodriguez, MD had 183 opioid claims in 2023 with an opioid prescribing rate of 1.9%.
How many General Practice Physician providers are there in the US?
There are 16,677 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 Rodriguez, MD prescribe most often?
Based on 2023 Medicare Part D data, Rafael Rodriguez, MD's most frequently prescribed drugs include Atorvastatin Calcium, Gabapentin, Losartan Potassium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Rafael Rodriguez, MD accept Medicare?
Rafael Rodriguez, MD appears in CMS Medicare data with 9,769 Part D claims and 324 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Rafael Rodriguez, MD's credentials?
Rafael Rodriguez, MD's NPI is 1790240521 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

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.