Individual provider Active NPI

Dargee Emid Guevarez, M.D.

  • Pediatrics Physician
  • Ponce, PR
National Provider Identifier
1023071883
Registry record updated May 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
13671 Issued in PR
Practice address
Condominio San Vicente Concordia #8169
Suite 405
Ponce, PR 00717
Phone
(787) 284-3724
Fax
(787) 284-3724
NPI assigned
Apr 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 13671 PR Primary

Addresses

Primary practice location

Condominio San Vicente Concordia #8169
Suite 405
Ponce, PR 00717

Mailing address

Brisas del Prado
2025 Guaraguao
Santa Isabel, PR 00757-2175
Phone (787) 448-0222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
13671PRMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430870400000",
    "number": "1023071883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BRISAS DEL PRADO",
            "address_2": "2025 GUARAGUAO",
            "city": "SANTA ISABEL",
            "state": "PR",
            "postal_code": "007572175",
            "telephone_number": "787-448-0222",
            "fax_number": "787-284-3724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CONDOMINIO SAN VICENTE CONCORDIA #8169",
            "address_2": "SUITE 405",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00717",
            "telephone_number": "787-284-3724",
            "fax_number": "787-284-3724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUEVAREZ",
        "first_name": "DARGEE",
        "middle_name": "EMID",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-11",
        "last_updated": "2015-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "13671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.