Rafael E Paz
General Practice • Arecibo, PR
Car 129, Intersection 490
Arecibo, PR 00612
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on June 11, 2020; this date does not establish years in practice.
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Published CMS data list 9,336 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Simvastatin — 530 prescription fills, including refills.
- Gabapentin — 458 prescription fills, including refills.
- Famotidine — 397 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 141 records in the table · Guide: How to read Medicare Part D prescriber data
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More Part D prescriptions than 85% of clinicians listed under General Practice in Arecibo, PR (2024, 97 clinicians with data). Median for this group: 1,539. Middle half: 307 to 4,065.
More Part D prescriptions than 85% of clinicians listed under General Practice in Puerto Rico (2024, 2,623 clinicians with data). Median for this group: 1,262. Middle half: 241 to 5,106.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part D prescriptions went from 140 in 2021 to 9,336 in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2021–2024.
Practice Location & Contact Primary Location
Car 129, Intersection 490
Arecibo, PR 00612
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
General Practice: NPPES taxonomy is a reported classification, not proof of board certification.
30-day fills
10,985 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$301,804 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $97.37 across 3 records.
By nature of payment
- Food and Beverage: $97.37 across 3 records.
Reporting-company totals
- Eli Lilly and Company: $64.51 across 1 record.
- AstraZeneca Pharmaceuticals LP: $32.86 across 2 records.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
NPI first issued
2020
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.
Enrolled in Medicare (PECOS)
Rafael Paz has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Rafael Paz as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Arecibo and Puerto Rico
Billing and prescribing volume is not a quality rating.
Medicare Part D prescriptions
More Part D prescriptions than 85% of clinicians listed under General Practice in Arecibo, PR (2024, 97 clinicians with data). Median for this group: 1,539. Middle half: 307 to 4,065.
More Part D prescriptions than 85% of clinicians listed under General Practice in Puerto Rico (2024, 2,623 clinicians with data). Median for this group: 1,262. Middle half: 241 to 5,106.
Part D drug cost
A higher Part D drug cost than 80% of clinicians listed under General Practice in Arecibo, PR (2024, 97 clinicians with data). Median for this group: $44,815. Middle half: $4,104 to $184,738.
A higher Part D drug cost than 80% of clinicians listed under General Practice in Puerto Rico (2024, 2,623 clinicians with data). Median for this group: $34,550. Middle half: $2,978 to $214,501.
139 active clinicians are listed under General Practice with a practice address in Arecibo, PR (4,225 in Puerto Rico).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Arecibo
2.9% of these 139 clinicians have the CMS telehealth indicator.
28.8% of these 139 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 6569% from 140 in 2021 to 9,336 in 2024.
- 2021: 140
- 2022: 1,771
- 2023: 4,775
- 2024: 9,336
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30-day fills
30-day fills increased 7691% from 141 in 2021 to 10,985 in 2024.
- 2021: 141
- 2022: 1,782
- 2023: 5,241
- 2024: 10,985
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Part D drug cost
Part D drug cost increased 28600% from $1,052 in 2021 to $301,804 in 2024.
- 2021: $1,052
- 2022: $47,542
- 2023: $121,686
- 2024: $301,804
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $131.05 in 2021 to $97.37 in 2025.
- 2021: $131.05
- 2022: $82.44
- 2023: $225.47
- 2024: $549.65
- 2025: $97.37
Sources: CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $97.37.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Eli Lilly and Company |
Food and Beverage
Cash or cash equivalent
|
ZEPBOUND | General | $64.51 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
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LOKELMA | General | $18.31 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
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FARXIGA | General | $14.55 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Simvastatin | Simvastatin | 530 | 19,410 | $2,585.70 | 90 |
| Gabapentin | Gabapentin | 458 | 15,268 | $3,764.30 | 84 |
| Famotidine | Famotidine | 397 | 12,860 | $2,186.99 | 95 |
| Metformin Hcl | Metformin Hcl | 356 | 14,140 | $1,645.18 | 68 |
| Lisinopril | Lisinopril | 333 | 13,035 | $1,408.27 | 61 |
| Atorvastatin Calcium | Atorvastatin Calcium | 293 | 12,138 | $1,995.69 | 69 |
| Amlodipine Besylate | Amlodipine Besylate | 275 | 9,810 | $1,153.38 | 54 |
| Losartan Potassium | Losartan Potassium | 263 | 10,878 | $2,162.03 | 61 |
| Synthroid | Levothyroxine Sodium | 248 | 8,986 | $14,420.51 | 47 |
| Omeprazole | Omeprazole | 222 | 7,820 | $1,287.52 | 50 |
| Tamsulosin Hcl | Tamsulosin Hcl | 210 | 7,320 | $1,476.53 | 39 |
| Montelukast Sodium | Montelukast Sodium | 202 | 6,695 | $1,497.56 | 46 |
| Dexamethasone | Dexamethasone | 196 | 2,009 | $3,645.88 | 122 |
| Azithromycin | Azithromycin | 186 | 929 | $1,379.16 | 136 |
| Levothyroxine Sodium | Levothyroxine Sodium | 183 | 7,950 | $1,812.11 | 41 |
| Pantoprazole Sodium | Pantoprazole Sodium | 167 | 5,895 | $1,249.26 | 35 |
| Hydrochlorothiazide | Hydrochlorothiazide | 164 | 5,655 | $785.59 | 43 |
| Diclofenac Potassium | Diclofenac Potassium | 150 | 1,983 | $3,148.02 | 78 |
| Glipizide | Glipizide | 144 | 5,036 | $1,209.35 | 22 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 142 | 6,780 | $1,729.46 | 38 |
| Carvedilol | Carvedilol | 136 | 4,545 | $732.40 | 22 |
| Losartan-Hydrochlorothiazide | Losartan/Hydrochlorothiazide | 125 | 5,190 | $1,535.47 | 23 |
| Clonazepam | Clonazepam | 122 | 3,610 | $1,284.25 | 29 |
| Enalapril Maleate | Enalapril Maleate | 112 | 3,840 | $1,313.34 | 20 |
| Metoprolol Succinate | Metoprolol Succinate | 101 | 4,288 | $1,047.48 | 21 |
(top 25 shown)
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2021-11-04NUCC Taxonomy Code: 208D00000X
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
NUCC Taxonomy Code: 208D00000X
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - GENERAL PRACTICE
I20201209000117
PR
9436561842
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at CAR 129, INTERSECTION 490, ARECIBO, PR 00612 (Tel: 7878803843)
General Practice (license number reported to NPPES: PR 21904)
NPI status registered as active in NPPES database
Registered at URB. COSTA NORTE, CALLE DELFIN L-24, HATILLO, PR 00659 (Tel: 7876106240)
Registered at PO BOX 86, HATILLO, PR 006590086 (Tel: 7876106240)
Recorded as RAFAEL PAZ
General Practice (license number reported to NPPES: PR 15108-I)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other General Practices in Arecibo
- Salvador Lopez-Rojas
- Dr. Lorena Diaz Colon, MD
- Dr. Willaim Gonzalez, MD
- Dr. David Soriano-Perez, MD
- Dr. Manuel Marcano Rivera, MD
- Dr. Victor Perez Orengo, MD
Mailing Address
Po Box 86
Hatillo, PR 006590086
Phone: 7878803843