Active NPI
Pedro Vargas, M.D.
- Ophthalmology Physician
- Arecibo, PR
National Provider Identifier
1063548824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 04393
- Practice address
- 64 Calle Trina Padilla
Arecibo, PR 00612-4309 - Phone
- (787) 878-3358
- Fax
- (787) 880-3313
- NPI assigned
- Feb 26, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 04393 | PR | Primary |
Addresses
Primary practice location
64 Calle Trina Padilla
Arecibo, PR 00612-4309
Mailing address
PO Box 363
Arecibo, PR 00613-0363
Phone (787) 878-3358
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120328000224 | PR | Practitioner - Ophthalmology | 3870753999 | Practice locations: Arecibo, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- University of Puerto Rico School of Medicine, 1973
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
64 Calle Trina Padilla
Arecibo, PR 00612-4309
Phone (787) 878-3358
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04393 | PR | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1063548824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 363",
"city": "ARECIBO",
"state": "PR",
"postal_code": "006130363",
"telephone_number": "787-878-3358",
"fax_number": "787-880-3313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "64 CALLE TRINA PADILLA",
"city": "ARECIBO",
"state": "PR",
"postal_code": "006124309",
"telephone_number": "787-878-3358",
"fax_number": "787-880-3313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARGAS",
"first_name": "PEDRO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-26",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "PR",
"license": "04393",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arecibo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.