Doctor profile · Federal record
Dr. Rafael Lastra, M.D.
Cardiovascular Disease Physician (CMS: Cardiovascular Disease (Cardiology)) · San Juan, PR
- NPI 1477550150
- Accepts Medicare
- 40 yrs in practice
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
Torre Auxilio Mutuo Ponce de Leon Ave 735, Suite 516
San Juan, PR 00917
(787) 764-6403
fax (787) 756-8926 - Mailing address
-
138 Ave Winston Churchill, Pmb 149
San Juan, PR 009266023
Credentials & registration
- NPI registered
- July 2005 — 21 yrs on file
- Profile last updated
- July 14, 2008
- Year of graduation
- 1986 — 40 yrs since
- Specialty taxonomy
- 207RC0000X — NUCC code
- State license (1)
- Puerto Rico #9566
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1477550150. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,012
Distinct HCPCS
6
Medicare allowed
$73,410
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 589 | 246 | $88 | |
93000 |
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 238 | 214 | $14 | |
99231 |
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 88 | 39 | $49 | |
93306 |
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 56 | 54 | $186 | |
99221 |
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 23 | 22 | $82 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 18 | 18 | $106 |
In context: peer comparison
Among 22 peers in San Juan Cardiovascular Disease Physician, average services per provider: 62. This provider delivers 16× the peer median.Open Payments
Industry payments received
All-time total
$543
Transactions
25
Manufacturers
12
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Pbg Puerto Rico LLC | 7 | $133.60 | |
| Zoll Services LLC (A/K/A Zoll LifeCor Corp) | 3 | $63.19 | |
| AstraZeneca Pharmaceuticals Lp | 3 | $60.40 | |
| Amgen INC. | 3 | $59.92 | |
| Boston Scientific Corporation | 1 | $52.72 | |
| Merck Sharp & Dohme LLC | 2 | $40.07 | |
| Boehringer Ingelheim Pharmaceuticals, INC. | 1 | $27.78 | |
| E.R. Squibb & Sons, L.L.C. | 1 | $25.00 | |
| Janssen Pharmaceuticals, INC | 1 | $25.00 | |
| Pfizer INC. | 1 | $19.56 | |
| Edwards Lifesciences Corporation | 1 | $17.98 | |
| Abbott Laboratories | 1 | $17.36 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
7,970
Patients
1,959
Total drug cost
$349,760
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amlodipine Besylate | Generic | 1,172 | 276 | $8,142 |
| Metoprolol Succinate | Generic | 1,126 | 258 | $18,103 |
| Atorvastatin Calcium | Generic | 980 | 245 | $10,287 |
| Losartan Potassium | Generic | 702 | 191 | $8,844 |
| Carvedilol | Generic | 572 | 137 | $5,242 |
| Rosuvastatin Calcium | Generic | 559 | 147 | $6,708 |
| Clopidogrel (Clopidogrel Bisulfate) | Brand | 437 | 109 | $4,863 |
| Simvastatin | Generic | 391 | 104 | $2,678 |
| Eliquis (Apixaban) | Brand | 354 | 78 | $242,723 |
| Irbesartan | Generic | 347 | 89 | $8,296 |
Frequently asked questions
What is Dr. Rafael Lastra's medical specialty?
Dr. Rafael Lastra practices Cardiovascular Disease Physician in San Juan, PR.
Where does Dr. Rafael Lastra practice?
Dr. Rafael Lastra practices at Torre Auxilio Mutuo Ponce de Leon Ave 735, San Juan, PR 00917. Office phone: 7877646403.
What is Dr. Rafael Lastra's NPI?
Dr. Rafael Lastra's National Provider Identifier (NPI) is 1477550150, issued by NPPES.
Does Dr. Rafael Lastra accept Medicare assignment?
Yes. Dr. Rafael Lastra accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Rafael Lastra commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS 93000); Subsequent hospital care with straightforward or low level of medical decision making (HCPCS 99231). Source: CMS Medicare Physician & Other Practitioners file.