Individual provider Active NPI

Gerardo Vargas, CRNA

  • Certified Registered Nurse Anesthetist
  • San Juan, PR
National Provider Identifier
1083874598
Registry record updated Mar 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
072663 Issued in PR
Practice address
Medical Center Mail Symbol One Veterans Plaza
San Juan, PR 00927
Phone
(787) 641-7582
NPI assigned
Jun 10, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 072663 PR Primary

Addresses

Primary practice location

Medical Center Mail Symbol One Veterans Plaza
San Juan, PR 00927

Mailing address

Bairoa Golden Gate 2 Calle G D 14
Caguas, PR 00725
Phone (787) 436-5534

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180119002709 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 0042579047 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Zephyrhills Anesthesiology Associates LLCGroup PAC ID 8628145869, 36 clinicians

Practice addresses (Care Compare)

7050 Gall Blvd
Zephyrhills, FL 33541-1347
Phone (813) 788-0411

Hospital & facility affiliations

  • Adventhealth Zephyrhills Hospital, Zephyrhills, FL, CCN 100046

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
072663PRMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Zephyrhills Anesthesiology Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 10, 2018 Accepting new patients
Florida Medical Clinic, LLC CurrentSince Jan 15, 2018 Accepting new patients
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer SCRN Ctr Inc CurrentSince Nov 12, 2018 Accepting new patients
Florida Medical Clinic LLC CurrentSince Jan 15, 2018 Accepting new patients
Ams National LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 21, 2018 Accepting new patients
Zephyrhills Anesthesiology Associates LLC CurrentSince Oct 10, 2018 Accepting new patients

Locations

6002 Berryhill Rd
Milton, FL 32570
Phone (850) 474-8688

12902 Usf Magnolia Dr
Tampa, FL 33612
Phone (813) 745-2720

14547 Bruce B Downs Blvd
Ste A
Tampa, FL 33613
Phone (813) 280-7100

7050 Gall Blvd
Zephyrhills, FL 33541
Phone (813) 779-1209

6733 Gall Blvd
Zephyrhills, FL 33542
Phone (813) 783-8242

38105 Market Square Dr
Zephyrhills, FL 33542
Phone (321) 841-4449

38135 Market Square Dr
Zephyrhills, FL 33542
Phone (352) 567-0188

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489017600000",
    "number": "1083874598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BAIROA GOLDEN GATE 2 CALLE G D 14",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-436-5534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MEDICAL CENTER MAIL SYMBOL ONE VETERANS PLAZA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00927",
            "telephone_number": "787-641-7582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGAS",
        "first_name": "GERARDO",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-10",
        "last_updated": "2017-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PR",
            "license": "072663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; 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.

Verify at the official NPI Registry.