Individual provider Active NPI

Dalila Rivera-Vargas

  • Radiologic Technologist
  • San German, PR
National Provider Identifier
1043495617
Registry record updated Jan 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiologic TechnologistTaxonomy code 247100000X
License
002979 Issued in PR
Practice address
43 Calle Dr Veve
Edificio Grovas Rodriguez
San German, PR 00683-4100
Phone
(787) 892-5030
Fax
(787) 264-7279
NPI assigned
Jan 2, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiologic Technologist 247100000X 002979 PR Primary

Addresses

Primary practice location

43 Calle Dr Veve
Edificio Grovas Rodriguez
San German, PR 00683-4100

Mailing address

HC 1 Box 9866
San German, PR 00683-9751
Phone (787) 242-7517

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
002979PRMDRadiologic Technologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199232000000",
    "number": "1043495617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 1 BOX 9866",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006839751",
            "telephone_number": "787-242-7517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 CALLE DR VEVE",
            "address_2": "EDIFICIO GROVAS RODRIGUEZ",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006834100",
            "telephone_number": "787-892-5030",
            "fax_number": "787-264-7279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA-VARGAS",
        "first_name": "DALILA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-02",
        "last_updated": "2008-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": "PR",
            "license": "002979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San German, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.