Individual provider Active NPI

Victor I Vargas Sr., LPT

  • Specialist
  • San Juan, PR
National Provider Identifier
1497758700
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
469 Issued in PR
Practice address
110 Calle del Parque
Suite 12-a
San Juan, PR 00911
Phone
(787) 644-5235
Fax
(787) 876-6823
NPI assigned
May 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 469 PR Primary

Addresses

Primary practice location

110 Calle del Parque
Suite 12-a
San Juan, PR 00911

Mailing address

110 Del Parque St
12-A
San Juan, PR 00911
Phone (787) 644-5235

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040928000313 PR Practitioner - Physical Therapist in Private Practice 6002885969 Reassigns benefits to 2 organizations
Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Puerto Rico School of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

Calle Cerra
Ave Kennedy
San Juan, PR 00907
Phone (787) 492-3922

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
469PRMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Centro de Medicina Deportiva Y Servicios Multidisciplinarios CurrentSince Mar 4, 2023 Accepting new patients
Joyce M Castro MD PSC CurrentSince Dec 1, 2021 Accepting new patients

Locations

655 Ave Roberto H Todd
San Juan, PR 00907
Phone (787) 245-0000

528 Calle Cesar Gonzalez
San Juan, PR 00918
Phone (787) 248-0398

Organizations & group practices 2

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": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1497758700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 DEL PARQUE ST",
            "address_2": "12-A",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00911",
            "telephone_number": "787-644-5235",
            "fax_number": "787-876-6823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CALLE DEL PARQUE",
            "address_2": "SUITE 12-A",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00911",
            "telephone_number": "787-644-5235",
            "fax_number": "787-876-6823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGAS",
        "first_name": "VICTOR",
        "middle_name": "I",
        "name_suffix": "Sr.",
        "credential": "LPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "469",
            "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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.