Individual provider Active NPI

Presbitero Aguirre Vargas, DO, P . A.

  • Podiatric Assistant
  • Juana Diaz, PR
National Provider Identifier
1538717467
Registry record updated Sep 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric AssistantTaxonomy code 211D00000X
License
383-P.A. Issued in PR
Practice address
Comunidad Aguilita # 158 Calle Correa
Juana Diaz, PR 00795-9844
Phone
(787) 718-3938
NPI assigned
Sep 4, 2019
Last updated
Sep 4, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 383-P.A. PR
Surgical Physician Assistant 363AS0400X 383-P.A. PR
Podiatric Assistant 211D00000X 383-P.A. PR Primary

Addresses

Primary practice location

Comunidad Aguilita # 158 Calle Correa
Juana Diaz, PR 00795-9844

Mailing address

HC 4 Box 8168
Juana Diaz, PR 00795-9844
Phone (787) 718-3938

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
Credentials
Doctor of Osteopathy, Physician Assistant

State licenses

LicenseStateTypeSpecialty
383-P.A.PRMDPodiatric Assistant

NPI Registry JSON

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

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1538717467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 4 BOX 8168",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "007959844",
            "telephone_number": "787-718-3938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COMUNIDAD AGUILITA # 158 CALLE CORREA",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "007959844",
            "telephone_number": "787-718-3938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUIRRE VARGAS",
        "first_name": "PRESBITERO",
        "credential": "DO, P .  A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-04",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PR",
            "license": "383-P.A.",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PR",
            "license": "383-P.A.",
            "primary": false
        },
        {
            "code": "211D00000X",
            "taxonomy_group": "",
            "desc": "Assistant, Podiatric",
            "state": "PR",
            "license": "383-P.A.",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Juana Diaz, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.

Verify at the official NPI Registry.