Individual provider Active NPI

Angel C Reyes Vargas, MD

  • General Practice Physician
  • Salinas, PR
National Provider Identifier
1285361980
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
22913 Issued in PR
Practice address
8 Calle Colon Pacheco
Salinas, PR 00751-3344
Phone
(787) 824-7025
Fax
(787) 824-3304
NPI assigned
Aug 2, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 22913 PR Primary

Addresses

Primary practice location

8 Calle Colon Pacheco
Salinas, PR 00751-3344

Mailing address

PO Box 424
Aguirre, PR 00704-0424
Phone (787) 223-4504

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
I20221123001652 PR Practitioner - General Practice 4082730296 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Grupo Medico Sur-Med General Practice CurrentSince Oct 8, 2022 Accepting new patients
Isla Verde Health and Wellness Corp. General Practice CurrentSince Mar 26, 2023 Accepting new patients
Sur-Med Medical Corp CurrentSince Oct 8, 2022 Accepting new patients
Sur-Med Medical Corp. CurrentSince Oct 8, 2022 Accepting new patients

Locations

8 Calle Colon Pacheco
Salinas, PR 00751
Phone (787) 824-1100

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1659398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1285361980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 424",
            "city": "AGUIRRE",
            "state": "PR",
            "postal_code": "007040424",
            "telephone_number": "787-223-4504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 CALLE COLON PACHECO",
            "city": "SALINAS",
            "state": "PR",
            "postal_code": "007513344",
            "telephone_number": "787-824-7025",
            "fax_number": "787-824-3304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES VARGAS",
        "first_name": "ANGEL",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-02",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, PR

Sources for this page

Verify at the official NPI Registry.