Active NPI
Jorge Alberto Vargas Venero
- Pharmacist
- San Juan, PR
National Provider Identifier
1417507138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 6426
- Practice address
- 650 Ave Luis Munoz Rivera Ste 701
San Juan, PR 00918-4110 - Phone
- (787) 523-1212
- NPI assigned
- Sep 14, 2019
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 6426 | PR | Primary |
Addresses
Primary practice location
650 Ave Luis Munoz Rivera Ste 701
San Juan, PR 00918-4110
Mailing address
Calle 24 O-2
Alturas de Flamboyan
Bayamon, PR 00959
Phone (787) 464-8042
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 |
|---|---|---|---|
| 6426 | PR | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568419200000",
"number": "1417507138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CALLE 24 O-2",
"address_2": "ALTURAS DE FLAMBOYAN",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00959",
"telephone_number": "787-464-8042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 AVE LUIS MUNOZ RIVERA STE 701",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009184110",
"telephone_number": "787-523-1212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARGAS VENERO",
"first_name": "JORGE",
"middle_name": "ALBERTO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-09-14",
"last_updated": "2019-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "6426",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.