Individual provider Active NPI

Jose Luis Vargas-Massari, MD

  • General Practice Physician
  • Kissimmee, FL
National Provider Identifier
1306409784
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN1367 Issued in FL
Practice address
780 Buenaventura Blvd
Kissimmee, FL 34743-8128
Phone
(407) 274-9590
Fax
(407) 593-6102
NPI assigned
Apr 21, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 14661-I PR
General Practice Physician 208D00000X 21496 PR
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X ACN1367 FL Primary

Addresses

Primary practice location

780 Buenaventura Blvd
Kissimmee, FL 34743-8128

Mailing address

425 W Colonial Dr Ste 303
Orlando, FL 32804-6863
Phone (321) 332-6947

Other identifiers 1

IdentifierTypeStateIssuer
111870000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191205001184 PR Practitioner - General Practice 4688007685 Reassigns benefits to 1 organization
I20210922001481 FL Practitioner - General Practice 4688007685 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Orlando Family Physicians LLCGroup PAC ID 0749226439, 86 clinicians

Practice addresses (Care Compare)

780 Buenaventura Blvd
Kissimmee, FL 34743-8128
Phone (407) 344-9959

Hospital & facility affiliations

  • Vitas Healthcare Corporation of Florida Hospice, Melbourne, FL, CCN 101545
  • Orlando Health St Cloud Hospital Hospital, Saint Cloud, FL, CCN 100302

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ACN1367FLMDGeneral Practice Physician
14661-IPRMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Yaguez, Inc. Multi-Specialty CurrentSince Nov 13, 2019 Accepting new patients
Orlando Family Physicians, LLC Multi-Specialty CurrentSince Sep 13, 2021 Accepting new patients
Orlando Family Physicians, LLC Multi-Specialty CurrentSince Sep 13, 2021 Accepting new patients
Clinica Yaguez, Inc CurrentSince Nov 13, 2019 Accepting new patients
Orlando Family Physicians, LLC Multi-Specialty PastSince Jan 5, 2025 Accepting new patients
Idelis Fedeslinda Arias de la Torre Multi-Specialty PastSince Jun 1, 2021 Accepting new patients

Locations

790 Buenaventura Blvd
Kissimmee, FL 34743
Phone (407) 344-9959

780 Buenaventura Blvd
Kissimmee, FL 34743
Phone (407) 274-9590

1130 S Semoran Blvd
Orlando, FL 32807
Phone (407) 382-1376

425 W Colonial Dr
Ste 303
Orlando, FL 32804
Phone (321) 332-6947

811 N Nowell St
Orlando, FL 32808
Phone (407) 259-2383

6900 Tavistock Lakes Blvd
Ste 300
Orlando, FL 32827
Phone (321) 332-6947

121 S Orange Ave
Ste 940
Orlando, FL 32801
Phone 4076589687 ext. 129

1931 S Narcoossee Rd
Saint Cloud, FL 34771
Phone (407) 891-0045

117 Calle Ramon Valdes
Mayaguez, PR 00680
Phone (787) 832-8445

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: jose.luis.vargas.massari.1@27472.direct.athenahealth.com

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 5

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": "1555804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1306409784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 W COLONIAL DR STE 303",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328046863",
            "telephone_number": "321-332-6947",
            "fax_number": "407-286-4515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 BUENAVENTURA BLVD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347438128",
            "telephone_number": "407-274-9590",
            "fax_number": "407-593-6102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGAS-MASSARI",
        "first_name": "JOSE",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-21",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PR",
            "license": "14661-I",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "21496",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN1367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111870000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.