Individual provider Active NPI

Natividad Antonia Rodriguez Vargas, MD

  • Family Medicine Physician
  • Mayaguez, PR
National Provider Identifier
1538626478
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
13966152-1205 Issued in UT
Practice address
410 Ave Hostos
Mayaguez, PR 00682-1560
Phone
(787) 690-2157
NPI assigned
Feb 27, 2019
Last updated
Feb 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 14752 PR
Student in an Organized Health Care Education/Training Program 390200000X 21934 PR
Family Medicine Physician 207Q00000X 13966152-1205 UT Primary
General Practice Physician 208D00000X 34359-R PR

Addresses

Primary practice location

410 Ave Hostos
Mayaguez, PR 00682-1560

Mailing address

Calle 216 a 4X1 Colinas de Fair View
Trujillo Alto, PR 00976
Phone (787) 379-7921

Other practice location 1

Hospital Municipal de San Juan
Centro Mdico, Barrio Monacillo,
San Juan, PR 00928
Phone (787) 480-5885

Other practice location 2

715 Ave Ponce De Leon
Hato Rey, PR 00917-5032
Phone (787) 758-2000 ext. 3216

Other practice location 3

1580 W Antelope Dr Ste 280
Layton, UT 84041-1222
Phone (801) 776-0880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20250110002513 UT Practitioner - Family Practice 9133657687 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Catholic Health Initiatives ColoradoGroup PAC ID 8022927342, 1,230 clinicians

Practice addresses (Care Compare)

1580 W Antelope Dr
Suite 290
Layton, UT 84041-1179
Phone (801) 776-0880

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13966152-1205UTMDFamily Medicine Physician
34359-RPRMDGeneral Practice Physician
14752PRMDStudent in an Organized Health Care Education/Training Program
21934PRMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Health Initiatives Colorado CurrentSince Dec 27, 2024 Accepting new patients
Catholic Health Initiatives Colorado Family Medicine CurrentSince Dec 27, 2024 Accepting new patients
Catholic Health Initiatives Colorado Current Accepting new patients
Catholic Health Initiatives Colorado Past Accepting new patients

Locations

9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193

1580 W Antelope Dr
Ste 280
Layton, UT 84041
Phone (801) 726-1388

1580 W Antelope Dr
Ste 290
Layton, UT 84041
Phone (801) 776-0880

82 S 1100 E
Ste 103
Salt Lake Cty, UT 84102
Phone (801) 505-5370

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1551225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1538626478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE 216 A 4X1 COLINAS DE FAIR VIEW",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "00976",
            "telephone_number": "787-379-7921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 AVE HOSTOS",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006821560",
            "telephone_number": "787-690-2157"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Hospital Municipal de San Juan",
            "address_2": "Centro Mdico, Barrio Monacillo,",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "00928",
            "country_code": "US",
            "telephone_number": "787-480-5885",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "715 Ave Ponce De Leon",
            "address_purpose": "LOCATION",
            "city": "Hato Rey",
            "state": "PR",
            "postal_code": "009175032",
            "country_code": "US",
            "telephone_number": "787-758-2000 x3216",
            "fax_number": "787-771-7699",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1580 W Antelope Dr Ste 280",
            "address_purpose": "LOCATION",
            "city": "Layton",
            "state": "UT",
            "postal_code": "840411222",
            "country_code": "US",
            "telephone_number": "801-776-0880",
            "fax_number": "801-773-7399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ VARGAS",
        "first_name": "NATIVIDAD",
        "middle_name": "ANTONIA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-27",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PR",
            "license": "14752",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PR",
            "license": "21934",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "13966152-1205",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "34359-R",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

Verify at the official NPI Registry.