Rafael Orlando Santini Dominguez, M.D.
NPI 1720347479ActiveIndividual· Surgery, Vascular Surgery· Ponce, PR
Surgery, Vascular Surgery (M.D.) with Caribbean Vascular Services PC, practicing in Ponce, Puerto Rico. Their prescriptions cost Medicare Part D more than their services did: $133,149 for 791 claims, against $7,524 paid for services in 2024. Medtronic, Inc. was the largest of 6 companies reporting payments in 2025, $2,256 in all, mostly food and beverage. Lists Hospital Episcopal San Lucas II as a hospital affiliation.
Overview
| NPI | 1720347479 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | May 15, 2012 |
| Last updated in NPPES | Nov 10, 2025 |
| Certified by provider | Nov 10, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Vascular Surgery Primary | 2086S0129X | 18805 | PR |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
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 - Cardiac Surgery (PR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 27 |
|---|---|
| Services billed | 75 across 23 procedure codes |
| Paid by Medicare | $7,524 |
Part D prescriptions in 2024
| Prescriptions (claims) | 791 · 890 30-day fills |
|---|---|
| Patients | 272 |
| Total drug cost | $133,149 |
| Generic share | 73% of claims |
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Cardiac Surgery |
Medical group
- Caribbean Vascular Services PCPonce, PR · 3 clinicians
Hospital affiliation
- Hospital Episcopal San Lucas IIPonce, PR
Other facilities
- Programa de Servicios de Salud En El Hogar y Hospicio San Lucas IncHome health agency · Ponce, PR
Industry payments (Open Payments)
- 2025$2,256 · 60 payments from 6 companies
- 2024$948.88 · 35 payments from 8 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Medtronic, Inc. | $1,307 | 42 |
| Becton, Dickinson and Company | $422.57 | 14 |
| W. L. Gore & Associates, Inc. | $404.36 | 1 |
| Boston Scientific Corporation | $84.18 | 1 |
| Chiesi USA, Inc. | $21.40 | 1 |
What the 2025 payments were for
- Food and Beverage$1,851 · 59 payments
- Education$404.36 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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