Jadeyra Rivas Vargas, M.D.
Individual provider Active NPI General Practice Physician · Humacao, PR
NPI 1154633147 · NPPES record last updated Jun 17, 2015
Key facts
- NPI
- 1154633147
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 18132 (PR)
- Practice address
- 150 Ave Font Martelo
Humacao, PR 00791-3346 - Phone
- (787) 861-7777
- Fax
- (787) 285-5608
- NPI assigned
- Jul 8, 2010
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- General Practice
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- PR Healthcare Management Group
Practice addresses (Care Compare)
Carr 31 KM
Suite 0
Naguabo, PR 00718
Phone (787) 874-3152
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110627000430 | PR | Practitioner - General Practice | 7315125127 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18132 | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Municipio de Juncos | Current |
Accepting new patients | |
| PR Healthcare Management Group | Current |
Accepting new patients | |
| PR Healthcare Management Group | Current |
Accepting new patients | |
| Gobierno Municipal de Juncos | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 18132 | PR | Yes |
Addresses
Primary practice location
150 Ave Font Martelo
Humacao, PR 00791-3346
Mailing address
PO Box 10287
Humacao, PR 00792-1300
Phone (787) 613-3999
Other providers in Humacao, PR
- Carlos A Rigau
- Ringeight Corp
- Maria L. Rios Bonilla
- Jose A Rios Collazo
- Frances L Rivas Diaz
- Efrain Rivera Abreu
- Frances Rivera Cruz
- Juan Rafael Rivera Diaz
- Roberto Sharif Rivera Espinosa
- Angel Jose Rivera Gomez
All providers in Humacao, PR · General Practice Physician in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.