Individual provider Active NPI

Oswaldo De Varona Vega, MD

  • Gastroenterology Physician
  • Dorado, PR
National Provider Identifier
1851812556
Registry record updated Sep 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
021113 Issued in PR
Practice address
Doctors' Center Hospital Orlando Health- Dorado
900 Carretera 646
Dorado, PR 00646
Phone
(787) 625-5050
NPI assigned
Jul 3, 2017
Last updated
Sep 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 21113 PR
Gastroenterology Physician 207RG0100X 021113 PR Primary

Addresses

Primary practice location

Doctors' Center Hospital Orlando Health- Dorado
900 Carretera 646
Dorado, PR 00646

Mailing address

Paseo la Fuente Calle Tivoli B3
San Juan, PR 00926
Phone (787) 597-6952

Other practice location 1

University of Puerto Rico School of Medicine
San Juan, PR 00936-5067
Phone (787) 758-2525

Other practice location 2

Doctors' Center Hospital San Juan
1395 C. San Rafael
San Juan, PR 00909
Phone (787) 999-7620

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
I20240916000406 PR Practitioner - Gastroenterology 5193264216 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Paseo la Fuente Calle Tivoli
B3
San Juan, PR 00926-6474
Phone (787) 637-2517

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
021113PRMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gi Works LLC Gastroenterology CurrentSince Jul 1, 2024 Accepting new patients

Organizations & group practices 1

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 2

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": "1499040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726963200000",
    "number": "1851812556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PASEO LA FUENTE CALLE TIVOLI B3",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-597-6952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DOCTORS' CENTER HOSPITAL ORLANDO HEALTH- DORADO",
            "address_2": "900 CARRETERA 646",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "00646",
            "telephone_number": "787-625-5050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "University of Puerto Rico School of Medicine",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009365067",
            "country_code": "US",
            "telephone_number": "787-758-2525",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Doctors' Center Hospital San Juan",
            "address_2": "1395 C. San Rafael",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "00909",
            "country_code": "US",
            "telephone_number": "787-999-7620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE VARONA VEGA",
        "first_name": "OSWALDO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-03",
        "last_updated": "2024-09-22",
        "certification_date": "2024-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "21113",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PR",
            "license": "021113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dorado, PR

Sources for this page

Verify at the official NPI Registry.