Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Tomas Alberto Narvaez , 16, 771

General Practice • Utuado, PR

Active NPI 1932328184 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

Calle Fernando Luis Garcia #340
Utuado, PR 00641

Call 7878941488 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

Calle Fernando Luis Garcia #340

Utuado, PR 00641

Telephone 7878941488

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2005

30-day fills

23,391 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

$398,029 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 $68.50 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

21 years (graduated 2005)

CMS Doctors and Clinicians data list 2005 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

2007

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)

Tomas Narvaez 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 Tomas Narvaez 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 Utuado and Puerto Rico

Billing and prescribing volume is not a quality rating.

Medicare Part D prescriptions

More Part D prescriptions than 95% of clinicians listed under General Practice in Utuado, PR (2024, 17 clinicians with data). Median for this group: 2,381. Middle half: 208 to 6,640.

More Part D prescriptions than 90% of 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 85% of clinicians listed under General Practice in Utuado, PR (2024, 17 clinicians with data). Median for this group: $74,545. Middle half: $1,973 to $369,029.

A higher Part D drug cost than 85% of 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.

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

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Utuado

0% of these 25 clinicians have the CMS telehealth indicator.

20% of these 25 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 $68.50.

Manufacturer Payment Nature Product Type Amount ($)
Eli Lilly and Company
Food and Beverage
Cash or cash equivalent
ZEPBOUND General $68.50

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
Gabapentin Gabapentin 770 32,849 $6,203.92 136
Atorvastatin Calcium Atorvastatin Calcium 666 58,080 $9,362.50 211
Levothyroxine Sodium Levothyroxine Sodium 522 29,880 $6,558.66 108
Metformin Hcl Metformin Hcl 510 44,820 $4,454.49 143
Famotidine Famotidine 485 15,550 $2,951.52 102
Simvastatin Simvastatin 420 37,620 $4,448.14 116
Losartan Potassium Losartan Potassium 373 33,314 $5,322.93 119
Lisinopril Lisinopril 362 31,980 $2,566.85 102
Synthroid Levothyroxine Sodium 361 19,320 $30,483.48 64
Omeprazole Omeprazole 359 12,064 $2,053.01 91
Diclofenac Potassium Diclofenac Potassium 349 3,305 $7,870.57 154
Clonazepam Clonazepam 341 10,230 $2,989.51 42
Amlodipine Besylate Amlodipine Besylate 281 23,465 $1,613.61 81
Tamsulosin Hcl Tamsulosin Hcl 234 12,420 $2,457.27 55
Carvedilol Carvedilol 198 16,500 $2,310.58 62
Glipizide Glipizide 191 17,070 $5,433.09 55
Dexamethasone Dexamethasone 189 1,172 $2,816.54 122
Metoprolol Succinate Metoprolol Succinate 175 14,550 $3,328.62 53
Baclofen Baclofen 168 2,272 $875.64 83
Clotrimazole-Betamethasone Clotrimazole/Betamethasone Dip 157 3,467 $4,982.21 80
Alendronate Sodium Alendronate Sodium 152 5,398 $901.01 28
Glimepiride Glimepiride 149 12,990 $3,341.55 45
Temazepam Temazepam 149 4,470 $1,345.10 23
Pantoprazole Sodium Pantoprazole Sodium 146 4,620 $1,109.77 32
Albuterol Sulfate Hfa Albuterol Sulfate 121 3,067 $5,406.09 22

(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

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

License # reported to NPPES PR 16,771

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

I20070823000497

Enrollment State Jurisdiction

PR

PECOS Control ID

0345332250

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.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
NPI 1417949728

Doctor of Medicine (M.D.)

Career & Practice History

NPI enumerated April 25, 2007.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1932328184
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 25, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Other General Practices in Utuado

All General Practices in Utuado

Mailing Address

P.o. Box 1363

Utuado, PR 00641

Phone: 7878941565

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.