Individual provider Active NPI

Luis Alfredo De Jesus Vargas, M.D.

  • Pulmonary Disease Physician
  • Caguas, PR
National Provider Identifier
1235137589
Registry record updated Dec 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
06501 Issued in PR
Practice address
64 Goyco Street
Munoz Rivera Corner
Caguas, PR 00725
Phone
(787) 743-0236
Fax
(787) 745-6176
NPI assigned
Jul 11, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2008

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 06501 PR
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 06501 PR
Pulmonary Disease Physician 207RP1001X 06501 PR Primary
Sleep Medicine (Internal Medicine) Physician 207RS0012X 06501 PR

Addresses

Primary practice location

64 Goyco Street
Munoz Rivera Corner
Caguas, PR 00725

Mailing address

PO Box 8127
Caguas, PR 00726-8127
Phone (787) 743-0236

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
I20051202000593 PR Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists)Practitioner - Sleep Medicine 4981624004 Practice locations: Caguas, PR

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine, Sleep Medicine
Education
University of Puerto Rico School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

112 Calle Gautier Benitez
Caguas, PR 00725-5537
Phone (787) 998-2347

500 Ave Degetau
Caguas, PR 00725-7301
Phone (787) 743-0236

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
06501PRMDCritical Care Medicine (Internal Medicine) Physician

Interoperability endpoints

  • Direct secure messaging: joel.rodriguezramos.p1@direct.vitacare.nextgenshare.com
  • Direct secure messaging: luis.dejesusvargas.p1@direct.vitacare.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228867200000",
    "number": "1235137589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8127",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007268127",
            "telephone_number": "787-743-0236",
            "fax_number": "787-745-6176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 GOYCO STREET",
            "address_2": "MUNOZ RIVERA CORNER",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-743-0236",
            "fax_number": "787-745-6176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE JESUS VARGAS",
        "first_name": "LUIS",
        "middle_name": "ALFREDO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-11",
        "last_updated": "2008-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "06501",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "PR",
            "license": "06501",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PR",
            "license": "06501",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "PR",
            "license": "06501",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.