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DR. DARLENE VARGAS MALDONADO M.D.
NPI 1063863710
Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery in San Juan, PR

Active since June 23, 2016PECOS EnrolledAccepts Medicare Assignment
735 AVE PONCE DE LEON STE 812, SAN JUAN, PR 00917(787) 945-2919 Get Directions Write a Review

NPPES record last updated: September 17, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 17, 2024, Jul 3, 2023, Jun 20, 2023 and 5 more (8 updates tracked since 2016).

About Dr. Darlene Vargas Maldonado M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DARLENE VARGAS MALDONADO M.D. (NPI 1063863710) is an individual urogynecology and reconstructive pelvic surgery provider in San Juan, Puerto Rico, licensed in Puerto Rico (23694) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with Hima San Pablo Bayamon, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1063863710
Entity TypeIndividualFemale
Primary Taxonomy207VF0040X
Provider Legal NameDR. DARLENE VARGAS MALDONADOCredential: M.D.
Location Address735 AVE PONCE DE LEON STE 812San Juan, PR 00917-5031
Mailing AddressV 15 Monte Del EstadoGuaynabo, PR 00969
Phone(787) 945-2919
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 23, 2016
Last NPPES UpdateSeptember 17, 20248 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2024
✔ NPI 1063863710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · Urogynecology and Reconstructive Pelvic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207VF0040X
Licenses✔ Licensed in PR · 23694✔ Licensed in MA · 1016269
Definition
A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 1016269 (MA)

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Taro Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Darlene Vargas Maldonado M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID345667663
PECOS Enrollment IDI20240925004395
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Darlene Vargas Maldonado reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Centro De Cancer De La Universidad
Hematology & Oncology
PR 21 INT PR18, BO MONACILLO
San Juan, PR 00927
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 87 clinicians in this Medicare group
NPI 1215418751 (787) 772-8300
Recinto De Ciencias Medicas
Obstetrics & Gynecology
CENTRO COMERCIAL REPARTO METROPOLITANO SUITE 211, AVE. AMERICO MIRANDA
Rio Piedras, PR 00921
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 31 clinicians in this Medicare group
NPI 1689752461 (787) 758-7910
Women's Pelvic Health And Reconstructive Surgery LLC
Urogynecology and Reconstructive Pelvic Surgery
735 AVE PONCE DE LEON
San Juan, PR 00917
  • Reassigned Medicare billing, Puerto Rico enrollment
NPI 1558182121 (787) 685-8082

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hima San Pablo Bayamon

Acute Care Hospitals · Bayamon, PR
1/5 CMS rating
OwnershipProprietary
CMS Certification Number400109
Location70 Calle Santa CruzBayamon, PR 00961 · Bayamon County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00917 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.65 typical visit price
range $56.86 – $172.44
Typical copayment $32.66 (range $14.21 – $43.11)
Most-billed visit code 99204
Established Patient
$70.88 typical visit price
range $18.24 – $140.44
Typical copayment $17.72 (range $4.56 – $35.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YOLIANNE A LOZADA CAPRILES M.D
Obstetrics & Gynecology (Gynecology)
735 AVE PONCE DE LEON STE 812
SAN JUAN, PR 00917
San Juan Municipio (787) 758-2000
YLC MIGS-CPP SPECIALIST LLC
Obstetrics & Gynecology (Gynecology)
735 AVE PONCE DE LEON STE 812
SAN JUAN, PR 00917
San Juan Municipio (787) 758-2000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Darlene Vargas Maldonado's NPI number?

The NPI number for Darlene Vargas Maldonado is 1063863710. It was assigned to this individual provider in the NPPES registry on June 23, 2016.

Where is Darlene Vargas Maldonado located?

Darlene Vargas Maldonado practices at 735 Ave Ponce De Leon Ste 812, San Juan, PR 00917. The listed phone number is (787) 945-2919.

What is Darlene Vargas Maldonado's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 207VF0040X.

Is Darlene Vargas Maldonado enrolled in Medicare?

Yes. Darlene Vargas Maldonado is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Darlene Vargas Maldonado's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Darlene Vargas Maldonado reassigns Medicare benefits to 3 organizations: Centro De Cancer De La Universidad (San Juan, PR), Recinto De Ciencias Medicas (Rio Piedras, PR) and Women's Pelvic Health And Reconstructive Surgery LLC (San Juan, PR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Darlene Vargas Maldonado's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Darlene Vargas Maldonado accept?

Health plans from Taro Health list Darlene Vargas Maldonado as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Darlene Vargas Maldonado affiliated with any hospitals?

According to CMS data, Darlene Vargas Maldonado is affiliated with Hima San Pablo Bayamon.

When was this NPI record last updated?

The NPPES record for Darlene Vargas Maldonado was last updated on September 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.