Individual provider Active NPI

Darlene Vargas Maldonado, M.D.

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • San Juan, PR
National Provider Identifier
1063863710
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X
License
23694 Issued in PR
Practice address
735 Ave Ponce de Leon Ste 812
San Juan, PR 00917-5031
Phone
(787) 945-2919
NPI assigned
Jun 23, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X 1016269 MA
Obstetrics & Gynecology Physician 207V00000X 1016269 MA
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X 23694 PR Primary

Addresses

Primary practice location

735 Ave Ponce de Leon Ste 812
San Juan, PR 00917-5031

Mailing address

V 15 Monte del Estado
Guaynabo, PR 00969

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240925004395 PR Practitioner - Obstetrics/Gynecology 0345667663 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Recinto de Ciencias MedicasGroup PAC ID 3678469962, 246 clinicians

Practice addresses (Care Compare)

Administracion de Servicios Medicos
Bo Monacillos Ctro Medico de PR
Rio Piedras, PR 00935
Phone (787) 777-3535

Hospital & facility affiliations

  • Hospital Espanol Auxilio Mutuo San Pablo Hospital, Bayamon, PR, CCN 400109

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1016269MAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas Obstetrics & Gynecology CurrentSince Dec 1, 2024 Accepting new patients
Ylc Migs-CPP Specialist LLC CurrentSince Sep 23, 2024 Accepting new patients
Recinto de Ciencias Medicas CurrentSince Dec 1, 2024 Accepting new patients
Women'S Pelvic Health and Reconstructive Surgery LLC Current Accepting new patients
Women'S Pelvic Health and Reconstructive Surgery LLC CurrentSince Nov 6, 2024 Accepting new patients
Center for Pelvic Physical Therapy, LLC PastSince Jul 1, 2023 Accepting new patients

Locations

735 Ave Ponce de Leon
Ste 812
San Juan, PR 00917
Phone (787) 945-2919

Administracion De Servicios Medicos Asem
San Juan, PR 00935

715 Ave Ponce de Leon
San Juan, PR 00917
Phone 7877582000 ext. 3216

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1466640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1063863710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "V 15 MONTE DEL ESTADO",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 AVE PONCE DE LEON STE 812",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009175031",
            "telephone_number": "787-945-2919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGAS MALDONADO",
        "first_name": "DARLENE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-23",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "MA",
            "license": "1016269",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "1016269",
            "primary": false
        },
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "PR",
            "license": "23694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.