Individual provider Active NPI

Luis Rosario-Vargas, M.D.

  • Obstetrics Physician
  • Bayamon, PR
National Provider Identifier
1609844406
Registry record updated Oct 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
12858 Issued in PR
Practice address
Calle I #49
Hnas. Davila
Bayamon, PR 00961
Phone
(787) 785-6766
Fax
(787) 785-6680
NPI assigned
Mar 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X 12858 PR Primary

Addresses

Primary practice location

Calle I #49
Hnas. Davila
Bayamon, PR 00961

Mailing address

P.O.Box 926
Bayamon, PR 00960
Phone (787) 785-6766

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
I20120914000566 PR Practitioner - Obstetrics/Gynecology 6305094426 Reassigns benefits to 1 organization
Practice locations: Bayamon, PR

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TR Medical Management LLCGroup PAC ID 6002177235, 2 clinicians

Practice addresses (Care Compare)

Calle I
49 Hermanas Davilas
Bayamon, PR 00959-5041
Phone (787) 785-6766

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12858PRMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
TR Medical Management LLC CurrentSince Nov 29, 2017 Accepting new patients
Bayamon Medical Center Corp 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318377600000",
    "number": "1609844406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O.BOX 926",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00960",
            "telephone_number": "787-785-6766",
            "fax_number": "787-785-6680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE I #49",
            "address_2": "HNAS. DAVILA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00961",
            "telephone_number": "787-785-6766",
            "fax_number": "787-785-6680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSARIO-VARGAS",
        "first_name": "LUIS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2011-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "PR",
            "license": "12858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.