Rafael Berrios-Marcano, M.D.
NPI 1861542243 · Obstetrics & Gynecology Physician · Bayamon, PR
Enrolled with Medicare as Practitioner - Obstetrics/Gynecology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Rafael Berrios-Marcano, M.D. is a Obstetrics & Gynecology Physician provider in Bayamon, PR (NPI 1861542243).
Provider details
- NPI number
- 1861542243
- Entity type
- Individual
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 9426 (PR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
19 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
1 documented practice location
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 7 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Terconazole | 86 | 75 |
| Clotrimazole/Betamethasone Dipbrand: Clotrimazole-Betamethasone | 30 | 26 |
| Fluconazole | 24 | 19 |
| Nitrofurantoin Monohyd/M-Crystbrand: Nitrofurantoin Mono-Macro | 18 | 16 |
| Fluticasone Propionate | 15 | 15 |
| Estradiol | 13 | 11 |
| Levofloxacin | 11 | 11 |
These counts cover prescriptions paid through Medicare Part D in 2024 — they include cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means , never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$300 across 5 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-01-10
- Last updated
- 2007-07-09
Frequently asked questions
- What is Rafael Berrios-Marcano's NPI number?
- Rafael Berrios-Marcano's National Provider Identifier (NPI) is 1861542243, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Rafael Berrios-Marcano's specialty?
- Rafael Berrios-Marcano is listed in the NPPES registry with a primary specialty of Obstetrics & Gynecology Physician (Allopathic & Osteopathic Physicians).
- Where is Rafael Berrios-Marcano located?
- Rafael Berrios-Marcano's practice location on file with NPPES is 66 Calle Santa Cruz, Bayamon, PR 00961-7041.
- What is Rafael Berrios-Marcano's phone number?
- The practice phone number listed in the NPPES registry for Rafael Berrios-Marcano is (787) 787-1055.
- Does Rafael Berrios-Marcano accept Medicare?
- Rafael Berrios-Marcano is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Rafael Berrios-Marcano's NPI active?
- Yes — Rafael Berrios-Marcano's NPI (1861542243) is active in the NPPES registry as of the last update on 2007-07-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.