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Dr. Fabian Aurignac , MD

General Practice • Guaynabo, PR

Active NPI 1194803205 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

2056 Calle Turquesa
Guaynabo, PR 00969

Call 3019556796 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2056 Calle Turquesa

Guaynabo, PR 00969

Telephone 3019556796
Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Varmed Health Center Llc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

1993

30-day fills

1,461 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

$21,593 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

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.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $20.00 in 2024

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2024.

Guide: How to read an Open Payments record

Years since graduation

33 years (graduated 1993)

CMS Doctors and Clinicians data list 1993 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2006

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.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

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; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

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.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Aurignac 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.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Aurignac 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.

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.

Guide: What ordering and referring status means

Compared with the same specialty in Guaynabo and Puerto Rico

Billing and prescribing volume is not a quality rating.

Medicare Part D prescriptions

More Part D prescriptions than 65% of clinicians listed under General Practice in Guaynabo, PR (2024, 49 clinicians with data). Median for this group: 490. Middle half: 73 to 2,235.

Close to the middle for clinicians listed under General Practice in Puerto Rico (2024, 2,628 clinicians with data). Median for this group: 1,253. Middle half: 239 to 5,097.

Part D drug cost

A higher Part D drug cost than 65% of clinicians listed under General Practice in Guaynabo, PR (2024, 49 clinicians with data). Median for this group: $8,622. Middle half: $1,454 to $44,501.

Close to the middle for clinicians listed under General Practice in Puerto Rico (2024, 2,628 clinicians with data). Median for this group: $34,007. Middle half: $2,958 to $213,188.

98 active clinicians are listed under General Practice with a practice address in Guaynabo, PR (4,196 in Puerto Rico).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Guaynabo

0% of these 98 clinicians have the CMS telehealth indicator.

19.4% of these 98 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Part D Prescribers (2024), CMS Open Payments (2024), CMS Doctors and Clinicians, 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

Open Payments · Program Year 2024
Disclosure Year:

Program year 2024 (payments made January 1 – December 31, 2024): fewer than 11 records totaling $20.00.

Manufacturer Payment Nature Product Type Amount ($)
Pfizer Inc.
Food and Beverage
In-kind items and services
TRUMENBA General $20.00

Source: CMS Open Payments, program year 2024, released June 30, 2026.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Nabumetone Nabumetone 230 1,274 $1,401.49 215
Dexamethasone Dexamethasone 158 1,089 $2,283.00 157
Cefadroxil Cefadroxil 122 786 $1,325.63 116
Azithromycin Azithromycin 117 582 $1,293.78 117
Levofloxacin Levofloxacin 80 568 $706.77 75
Famotidine Famotidine 74 716 $253.96 69
Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav 72 519 $1,169.82 71
Orphenadrine Citrate Er Orphenadrine Citrate 59 298 $735.36 58
Clindamycin Hcl Clindamycin Hcl 56 346 $626.72 56
Dicyclomine Hcl Dicyclomine Hcl 55 338 $271.55 54
Cephalexin Cephalexin 54 411 $448.54 53
Prednisone Prednisone 48 240 $193.47 46
Paxlovid Nirmatrelvir/Ritonavir 43 215 $5,612.67 43
Gabapentin Gabapentin 38 296 $180.89 37
Ketorolac Tromethamine Ketorolac Tromethamine 38 244 $623.55 37
Neomycin-Polymyxin-Dexameth Neomycin/Polymyxin B/Dexametha 30 261 $563.66 30
Neomycin-Polymyxin-Hydrocort Neomycin/Polymyxin B/Hydrocort 22 368 $1,534.98 21
Metronidazole Metronidazole 21 115 $111.97 20
Sulfamethoxazole-Trimethoprim Sulfamethoxazole/Trimethoprim 21 115 $82.57 21
Diclofenac Potassium Diclofenac Potassium 21 156 $285.51 19
Boostrix Tdap Diphth,pertuss(Acell),tet Vac 20 20 $1,245.87 20
Meclizine Hcl Meclizine Hcl 19 168 $133.99 15
Omeprazole Omeprazole 16 302 $71.28 16
Ondansetron Hcl Ondansetron Hcl 13 60 $49.44 13
Fluconazole Fluconazole 12 63 $123.37 11

(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: 2026-06-30
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

License # reported to NPPES PR 19629

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Puerto Rico State Medical Licensing Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - GENERAL PRACTICE

Medicare Enrollment ID

I20190515001300

Enrollment State Jurisdiction

PR

PECOS Control ID

6507754306

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Varmed Health Center Llc

Calle Manuel F Rossy Esquina Segunda, Bayamon, PR 00960

Phone: 7879951900

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 30, 2026

General Practice (license number reported to NPPES: PR 19629)

âś…
NPI Profile Active January 14, 2016

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) January 14, 2016

Registered at 2056 CALLE TURQUESA, GUAYNABO, PR 00969 (Tel: 3019556796)

📍
Business Mailing Address (Initial Record) January 14, 2016

Registered at 2056 CALLE TURQUESA, GUAYNABO, PR 00969 (Tel: 7872427985)

👤
Provider Name / Credentials (Initial Record) January 14, 2016

Recorded as FABIAN AURIGNAC, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 14, 2016

Internal Medicine (license number reported to NPPES: PR 260-E)

🟢
Initial NPI Registration & Enumeration November 02, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1194803205
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 02, 2006
Last Update: June 30, 2026
Sole Proprietor: Yes

Other General Practices in Guaynabo

All General Practices in Guaynabo

Mailing Address

2056 Calle Turquesa

Guaynabo, PR 00969

Phone: 7872427985

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.