Active NPI
Jose Joaquin Vargas
- General Practice Physician
- Bayamon, PR
National Provider Identifier
1114128592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 6574
- Practice address
- J-23 Betances Ave.
Street #2
Bayamon, PR 00960 - Phone
- (787) 778-5353
- Fax
- (787) 740-7464
- NPI assigned
- May 31, 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 6574 | PR | Primary |
Addresses
Primary practice location
J-23 Betances Ave.
Street #2
Bayamon, PR 00960
Mailing address
P.O. Box 6350
Bayamon, PR 00960-5350
Phone (787) 778-5353
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6574 | Other | PR | MEDICAL LICENCE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6574 | PR | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114128592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 6350",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009605350",
"telephone_number": "787-778-5353",
"fax_number": "787-740-7464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "J-23 BETANCES AVE.",
"address_2": "STREET #2",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00960",
"telephone_number": "787-778-5353",
"fax_number": "787-740-7464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARGAS",
"first_name": "JOSE",
"middle_name": "JOAQUIN",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "6574",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENCE",
"identifier": "6574",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bayamon, 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.