Individual provider Active NPI

Jadeyra Rivas Vargas, M.D.

  • General Practice Physician
  • Humacao, PR
National Provider Identifier
1154633147
Registry record updated Jun 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
18132 Issued in PR
Practice address
150 Ave Font Martelo
Humacao, PR 00791-3346
Phone
(787) 861-7777
Fax
(787) 285-5608
NPI assigned
Jul 8, 2010
Last updated
Jun 17, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 18132 PR Primary

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

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
I20110627000430 PR Practitioner - General Practice 7315125127 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PR Healthcare Management GroupGroup PAC ID 5294975793, 8 clinicians

Practice addresses (Care Compare)

Carr 31 KM
Suite 0
Naguabo, PR 00718
Phone (787) 874-3152

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18132PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gobierno Municipal de Juncos CurrentSince Jan 7, 2026 Accepting new patients
Municipio de Juncos CurrentSince Jan 7, 2026 Accepting new patients
PR Healthcare Management Group CurrentSince Aug 1, 2025 Accepting new patients
PR Healthcare Management Group CurrentSince Aug 1, 2025 Accepting new patients

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1278547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434499200000",
    "number": "1154633147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10287",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007921300",
            "telephone_number": "787-613-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 AVE FONT MARTELO",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007913346",
            "telephone_number": "787-861-7777",
            "fax_number": "787-285-5608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVAS VARGAS",
        "first_name": "JADEYRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-08",
        "last_updated": "2015-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "18132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humacao, PR

Sources for this page

Verify at the official NPI Registry.