Individual provider Active NPI

Roberto R. De Varona, M.D.

  • Specialist
  • Caguas, PR
National Provider Identifier
1346278322
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
8644 Issued in PR
Practice address
M3 Calle Santa Maria
Residencial Bairoa
Caguas, PR 00725-1570
Phone
(787) 745-5975
NPI assigned
Jun 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 8644 PR Primary

Addresses

Primary practice location

M3 Calle Santa Maria
Residencial Bairoa
Caguas, PR 00725-1570

Mailing address

PO Box 1480
Caguas, PR 00726-1480
Phone (787) 637-8930

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
I20081120000451 PR Practitioner - Internal MedicinePractitioner - Emergency Medicine 4183784168 Reassigns benefits to 5 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Centro Medico del Turabo Inc CurrentSince Sep 1, 2008 Accepting new patients
Mennonite General Hospital Inc CurrentSince May 1, 2020 Accepting new patients
Hospital Menonita de Cayey CurrentSince May 15, 2019 Accepting new patients
Centro Medico del Turabo Inc CurrentSince Sep 1, 2008 Accepting new patients
Hospital Menonita de Cayey Specialist CurrentSince May 15, 2019 Accepting new patients
Hope Health PSC CurrentSince Mar 1, 2015 Accepting new patients
Hope Med PSC Internal Medicine CurrentSince Nov 19, 2022 Accepting new patients
Mennonite General Hospital Inc. CurrentSince May 1, 2020 Accepting new patients
Centro Med Turabo Past Accepting new patients

Locations

100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261

1519 Ave Ponce de Leon
Ste 302
San Juan, PR 00909
Phone (787) 725-8101

Organizations & group practices 9

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

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1346278322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1480",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007261480",
            "telephone_number": "787-637-8930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "M3 CALLE SANTA MARIA",
            "address_2": "RESIDENCIAL BAIROA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007251570",
            "telephone_number": "787-745-5975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE VARONA",
        "first_name": "ROBERTO",
        "middle_name": "R.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "8644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.