Rafael E. Rosario Amador, M.D.
NPI 1134519275ActiveIndividual· Internal Medicine, Nephrology· Bayamon, PR
Internal Medicine, Nephrology (M.D.) in Bayamon, Puerto Rico, trained at University Central del Caribe Escuela de Medicina (class of 2013). Their prescriptions cost Medicare Part D more than their services did: $170,608 for 2,309 claims, against $29,173 paid for services in 2024.
Overview
| NPI | 1134519275 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jan 28, 2015 |
| Last updated in NPPES | Mar 9, 2021 |
| Certified by provider | Feb 18, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Nephrology Primary | 207RN0300X | 21336 | PR |
| General Practice | 208D00000X | 13629I | PR |
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 - Nephrology (PR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 39 |
|---|---|
| Services billed | 244 across 9 procedure codes |
| Paid by Medicare | $29,173 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,309 · 3,233 30-day fills |
|---|---|
| Patients | 333 |
| Total drug cost | $170,608 |
| Generic share | 89% of claims |
Education and affiliations
| Medical school | University Central del Caribe Escuela de Medicina |
|---|---|
| Graduation year | 2013 |
| Medicare specialty | Nephrology |
| Secondary specialties | Internal Medicine |
Medical group
- Pro Health Clinical Services LLCBayamon, PR · 20 clinicians
Hospital affiliation
- Hospital Espanol Auxilio Mutuo San PabloBayamon, PR
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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