James George Wagner, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

12634 Issued in PR

Practice address

8000 Ave. J.T. Pinero
Plaza Cayey, of. 204
Cayey, PR 00736

Phone

(787) 627-2788

Fax

(787) 653-2370

NPI assigned

Feb 8, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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 Menonita de Cayey

  • General Acute Care Hospital
  • Cayey, PR
  • NPI 1750317764
  NPD (past)

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326188293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 315 GARDEN HILLS PLAZA",
            "address_2": "1353 RD. 19",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009660096",
            "telephone_number": "787-627-2788",
            "fax_number": "787-653-2370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 AVE. J.T. PINERO",
            "address_2": "PLAZA CAYEY, OF. 204",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "00736",
            "telephone_number": "787-627-2788",
            "fax_number": "787-653-2370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "JAMES",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PR",
            "license": "12634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria I Vera, DMD
• Vic Medical Supplies
• Nalishka Maite Villafane Garcia
• Gean Carlos Viner, MD
• VM Hernandez PSC
• Wal-Mart Puerto Rico Inc (Walmart Pharmacy 10-2721)
• Wal-Mart Puerto Rico Inc (Walmart Vision Center 30-2721)
• Walgreen Co (Walgreens #677)
• Walgreen Co. (Walgreens #12650)
• Jorge Luis Weber Guzman, M.D.

• Obstetrics & Gynecology Physician in Cayey, PR
• Providers in Cayey, PR by specialty
• Obstetrics & Gynecology Physician in Puerto Rico

• 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.