Romarie Vargas-Roque, MD
Individual provider Active NPI General Practice Physician · Juncos, PR
NPI 1174385017 · NPPES record last updated Mar 22, 2024
Key facts
- NPI
- 1174385017
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 23622 (PR)
- Practice address
- 63 Calle Munoz Rivera
Juncos, PR 00777-3332 - Phone
- (787) 333-6108
- NPI assigned
- Jan 26, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
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 |
|---|---|---|---|---|
| I20240308001136 | PR | Practitioner - General Practice | 5698110484 |
Reassigns benefits to 1 organization Practice locations: Humacao, PR |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23622 | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neomed Center, Inc | Current | Accepting new patients | |
| Neomed Center, Inc | Current | Accepting new patients | |
| Neomed Center, Inc. | Current |
Accepting new patients | |
| Neomed Center, Inc. | Current |
Accepting new patients |
Locations
130 Calle Carite
Trujillo Alto, PR 00976
Phone (787) 292-3120
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 23622 | PR | Yes |
Addresses
Primary practice location
63 Calle Munoz Rivera
Juncos, PR 00777-3332
Mailing address
63 Calle Munoz Rivera
Juncos, PR 00777-3332
Phone (787) 333-6108
Other providers in Juncos, PR
- Woden E. Torres
- Tu Guia En Terapia Ocupacional
- Lourdes Del R. Umpierre Fernandez
- Glendaly Valdes de Jesus
- Nellie Valentin
- Ida Maria Vazquez Diaz
- Daliana Vazquez-Nieves
- Yulmary Vega
- Pedro Jose Velez Mendoza
- Sheila I Vellon-Perez
All providers in Juncos, 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 Mar 22, 2024. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.