Rafael Pastrana Laborde, MD
NPI 1073545257ActiveIndividual· Internal Medicine, Gastroenterology· Hato Rey, PR
Internal Medicine, Gastroenterology (MD) in Hato Rey, Puerto Rico, trained at University of Puerto Rico School of Medicine (class of 1999). Their prescriptions cost Medicare Part D more than their services did: $489,672 for 3,109 claims, against $20,973 paid for services in 2024. Gilead Sciences, Inc. was the largest of 5 companies reporting payments in 2025, $244.15 in all, mostly food and beverage.
Overview
| NPI | 1073545257 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jul 7, 2006 |
| Last updated in NPPES | Jul 17, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Gastroenterology Primary | 207RG0100X | ME96195 | FL |
| Internal Medicine | 207R00000X | ME96195 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Gastroenterology (PR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 99 |
|---|---|
| Services billed | 225 across 16 procedure codes |
| Paid by Medicare | $20,973 |
Part D prescriptions in 2024
| Prescriptions (claims) | 3,109 · 3,472 30-day fills |
|---|---|
| Patients | 533 |
| Total drug cost | $489,672 |
| Generic share | 84% of claims |
Education and affiliations
| Medical school | University of Puerto Rico School of Medicine |
|---|---|
| Graduation year | 1999 |
| Medicare specialty | Gastroenterology |
Medical group
- Hospital Espanol Auxilio Mutuo de Puerto Rico, Inc.San Juan, PR · 54 clinicians
Hospital affiliation
- Auxilio Mutuo HospitalSan Juan, PR
Industry payments (Open Payments)
- 2025$244.15 · 10 payments from 5 companies
- 2024$398.53 · 16 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Gilead Sciences, Inc. | $132.00 | 5 |
| Abbvie Inc. | $50.00 | 2 |
| Madrigal Pharmaceuticals | $25.00 | 1 |
| E.R. Squibb & Sons, L.L.C. | $20.94 | 1 |
| Scpharmaceuticals Inc. | $16.21 | 1 |
What the 2025 payments were for
- Food and Beverage$244.15 · 10 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Internal Medicine, Gastroenterology providers in Hato Rey
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- 1811993660
- 1003933417
All Internal Medicine, Gastroenterology providers in Puerto Rico →