Individual provider Active NPI

Abelardo I Vargas-Morales, M.D.

  • General Practice Physician
  • Carolina, PR
National Provider Identifier
1043201866
Registry record updated Oct 3, 2018
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Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
5445 Issued in PR
Practice address
53 Calle Domingo Caceres
Carolina, PR 00628
Phone
(787) 769-0045
Fax
(787) 769-2977
NPI assigned
Nov 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 5445 PR Primary

Addresses

Primary practice location

53 Calle Domingo Caceres
Carolina, PR 00628

Mailing address

PO Box 59
Carolina, PR 00986-0059
Phone (787) 769-0045

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
I20120315000801 PR Practitioner - General Practice 1254590938 Practice locations: Carolina, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5445PRMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1130803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538524800000",
    "number": "1043201866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 59",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009860059",
            "telephone_number": "787-769-0045",
            "fax_number": "787-769-2977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 CALLE DOMINGO CACERES",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00628",
            "telephone_number": "787-769-0045",
            "fax_number": "787-769-2977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGAS-MORALES",
        "first_name": "ABELARDO",
        "middle_name": "I",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-01",
        "last_updated": "2018-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "5445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

Verify at the official NPI Registry.