Individual provider Active NPI

Roberto Jesus Vargas Rios

  • General Practice Physician
  • Cayey, PR
National Provider Identifier
1215111497
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
16966 Issued in PR
Practice address
14 Road Bo. Rincon Sector Lomas
Suite 201 Professional Building Hospital Menonita Cayey
Cayey, PR 00737-2800
Phone
(787) 535-1001
Fax
(787) 535-1012
NPI assigned
Dec 24, 2007
Last updated
Aug 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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 16966 PR Primary

Addresses

Primary practice location

14 Road Bo. Rincon Sector Lomas
Suite 201 Professional Building Hospital Menonita Cayey
Cayey, PR 00737-2800

Mailing address

Ave. Las Americas 1970
Ponce, PR 00728-1813
Phone (787) 844-5539

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
I20080229000012 PR Practitioner - General Practice 5597849562 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16966PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Menonita de Cayey Specialist CurrentSince Mar 10, 2024 Accepting new patients
Hospital Menonita de Cayey Current Accepting new patients

Organizations & group practices 2

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": "1198454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1215111497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AVE. LAS AMERICAS 1970",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007281813",
            "telephone_number": "787-844-5539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 ROAD BO. RINCON SECTOR LOMAS",
            "address_2": "SUITE 201 PROFESSIONAL BUILDING HOSPITAL MENONITA CAYEY",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007372800",
            "telephone_number": "787-535-1001",
            "fax_number": "787-535-1012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGAS RIOS",
        "first_name": "ROBERTO",
        "middle_name": "JESUS",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-24",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "16966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cayey, PR

Sources for this page

Verify at the official NPI Registry.