NPIMap

Organization Active NPI

Varmed Health Center LLC

  • Clinical Medical Laboratory
  • Bayamon, PR
National Provider Identifier
1417670472
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
VARMED HEALTH CENTER LLC
Doing business as
Varmed Health Center LLC
Practice address
Calle Manuel F Rossy
Esq Isabel II
Bayamon, PR 00959
Phone
(787) 778-5353
Fax
(787) 778-5302
NPI assigned
Sep 23, 2022
Last updated
Sep 23, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
VARMED HEALTH CENTER LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 23, 2022

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

Authorized official

Name
Jose J Vargas, PRESIDENTENPI 1114128592
Title
Presidente
Phone
(787) 778-5353

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

Calle Manuel F Rossy
Esq Isabel II
Bayamon, PR 00959

Mailing address

PO Box 6350
Bayamon, PR 00960-5350
Phone (787) 778-5353

Other identifiers 2

IdentifierTypeStateIssuer
039267400MedicaidPR
PF583OtherPTAN

Other names 1

  • Varmed Health Center LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231128000812 PR Part B Supplier - Independent Clinical Laboratory 9830578079 Practice locations: Bayamon, PR

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Varmed Health Center LLC6 organizations share this tax ID, including this one
Part of
Varmed Health Center LLC

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Varmed Health Center LLCBayamon, PR, CCN 403028 Hospital 5% Or Greater Direct Ownership Interest (20%) Sep 24, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1663891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663891200000",
    "number": "1417670472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6350",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009605350",
            "telephone_number": "787-778-5353",
            "fax_number": "787-778-5302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE MANUEL F ROSSY",
            "address_2": "ESQ ISABEL II",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00959",
            "telephone_number": "787-778-5353",
            "fax_number": "787-778-5302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VARMED HEALTH CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VARMED HEALTH CENTER LLC",
        "enumeration_date": "2022-09-23",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-20",
        "status": "A",
        "authorized_official_last_name": "VARGAS",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-778-5353",
        "authorized_official_credential": "PRESIDENTE"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039267400",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "PF583",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Varmed Health Center LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.