Individual provider Active NPI

Juan Vargas Raposo

  • Specialist
  • Humacao, PR
National Provider Identifier
1093818916
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
3899 Issued in PR
Practice address
Calle Font Martelo 355
Hospital Ryder Memorial
Humacao, PR 00792-8868
Phone
(787) 852-0768
NPI assigned
Sep 6, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 3899 PR Primary

Addresses

Primary practice location

Calle Font Martelo 355
Hospital Ryder Memorial
Humacao, PR 00792-8868

Mailing address

PO Box 8868
Humacao, PR 00792-8868
Phone (787) 852-0768

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

State licenses

LicenseStateTypeSpecialty
3899PRMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093818916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8868",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007928868",
            "telephone_number": "787-852-0768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE FONT MARTELO 355",
            "address_2": "HOSPITAL RYDER MEMORIAL",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007928868",
            "telephone_number": "787-852-0768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGAS RAPOSO",
        "first_name": "JUAN",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "3899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humacao, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.