Individual provider Active NPI

Miguel A De Varona Negron, M.D.

  • Gastroenterology Physician
  • Caguas, PR
National Provider Identifier
1235331943
Registry record updated Nov 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
17026 Issued in PR
Practice address
100 Ave Luis Munoz Marin Hima San Pablo
Suite 703
Caguas, PR 00726-4980
Phone
(787) 363-3311
Fax
(787) 746-6003
NPI assigned
Jun 4, 2007
Last updated
Nov 21, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 17026 PR
Gastroenterology Physician 207RG0100X 17026 PR Primary

Addresses

Primary practice location

100 Ave Luis Munoz Marin Hima San Pablo
Suite 703
Caguas, PR 00726-4980

Mailing address

Buena Vista Village
450 Carr 844 Apt 1312
San Juan, PR 00926
Phone (787) 746-6003

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
I20100611000340 PR Practitioner - GastroenterologyPractitioner - Internal Medicine 4183754518 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Puerto Rico School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hima Plaza One
Suite 703
Caguas, PR 00725
Phone (787) 777-3535

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy176
Upper gastrointestinal (GI) endoscopy for acid reflux64

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Caguas Gastroenterology, LLC CurrentSince Feb 27, 2016 Accepting new patients
Recinto de Ciencias Medicas Gastroenterology Past 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": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321833600000",
    "number": "1235331943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BUENA VISTA VILLAGE",
            "address_2": "450 CARR 844 APT 1312",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-746-6003",
            "fax_number": "787-746-6003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 AVE LUIS MUNOZ MARIN HIMA SAN PABLO",
            "address_2": "SUITE 703",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007264980",
            "telephone_number": "787-363-3311",
            "fax_number": "787-746-6003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE VARONA NEGRON",
        "first_name": "MIGUEL",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-04",
        "last_updated": "2011-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "17026",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PR",
            "license": "17026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.