Yadira Socorro Rodriguez Vargas, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

16875 Issued in PR

Practice address

170 Calle Cedro
Urb. Los Robles
Moca, PR 00676-4212

Phone

(787) 317-0645

NPI assigned

Dec 21, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Internal Medicine

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Med Centro IncGroup PAC ID 5890692131, 62 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: yadira.rodriguez@medcentro.directbygreenway.com

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.

• Med Centro, Inc.

  • Federally Qualified Health Center (FQHC)
  • Ponce, PR
  • NPI 1295727147

  General Practice

  Medicare reassignment Care Compare group NPD
• Med Centro, Inc.

  • Federally Qualified Health Center (FQHC)
  • Ponce, PR
  • NPI 1669097374
  NPD

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490054400000",
    "number": "1649454935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 CALLE CEDRO",
            "address_2": "URB. LOS ROBLES",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "006764212",
            "telephone_number": "787-317-0645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 CALLE CEDRO",
            "address_2": "URB. LOS ROBLES",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "006764212",
            "telephone_number": "787-317-0645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ VARGAS",
        "first_name": "YADIRA",
        "middle_name": "SOCORRO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-21",
        "last_updated": "2017-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "16875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LIC NUMBER",
            "identifier": "16875",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy Rivera, MTS
• Xochitl P Rivera, RPH
• Rje Ambulance Sevices
• Jayleen Rodriguez Lamela, RN
• Omar Rodriguez Sanabria, MD
• Fritz Emmanuel Rodriguez-Sallaberry, M.D.
• Francisco Jose Rodriguez, MD
• Jessica Rodriguez, DC
• Rocio Rodriguez, O.D.
• Wanda Rodriguez, APT

• Internal Medicine Physician in Moca, PR
• Providers in Moca, PR by specialty
• Internal Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.