Individual provider Active NPI

Dinamarca Rodriguez Vargas, MD

  • Internal Medicine Physician
  • San Juan, PR
National Provider Identifier
1821079070
Registry record updated Oct 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
12901 Issued in PR
Practice address
First Bank BLDG 1519
Ave Ponce de Leon Ste 1101 P/23 Santurce
San Juan, PR 00910-9536
Phone
(787) 977-0707
Fax
(787) 977-0708
NPI assigned
Nov 7, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 12901 PR Primary

Addresses

Primary practice location

First Bank BLDG 1519
Ave Ponce de Leon Ste 1101 P/23 Santurce
San Juan, PR 00910-9536

Mailing address

PO Box 19536
San Juan, PR 00910-1536
Phone (787) 977-0707

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
I20050625000010 PR Practitioner - Internal Medicine 4789629122 Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1 St Bank BLDG
1519 Ave Ponce de Leon Suite 1105 S
San Juan, PR 00925-2912
Phone (787) 977-0707

1519 Ave Ponce de Leon
Suite 1105
San Juan, PR 00909-1722

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
H S Caribbean Medical Services Internal Medicine Past Accepting new patients
Dietetiko LLC Past Accepting new patients
Metro Santurce, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sjcdirodri@yourcarecommunity.org

Organizations & group practices 3

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": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477008000000",
    "number": "1821079070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19536",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009101536",
            "telephone_number": "787-977-0707",
            "fax_number": "787-977-0708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FIRST BANK BLDG 1519",
            "address_2": "AVE PONCE DE LEON STE 1101 P/23 SANTURCE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009109536",
            "telephone_number": "787-977-0707",
            "fax_number": "787-977-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ VARGAS",
        "first_name": "DINAMARCA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-07",
        "last_updated": "2016-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "12901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.