Active NPI
Enrique Carrion-Vargas, MD
- Pediatrics Physician
- San Juan, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 12204
- Practice address
- Hospital Pediatrico Universitario
Departamento de Pediatria
San Juan, PR 00936-5067 - Phone
- (787) 777-3535
- NPI assigned
- Dec 6, 2005
- Last updated
- Mar 21, 2013
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 12204 | PR | Primary |
| Pediatric Cardiology Physician | 2080P0202X | 12204 | PR | |
| Pediatric Critical Care Medicine Physician | 2080P0203X | 12204 | PR |
Addresses
Primary practice location
Hospital Pediatrico Universitario
Departamento de Pediatria
San Juan, PR 00936-5067
Mailing address
216 Calle Metis
Paseo del Sol
Dorado, PR 00646-4619
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12204 | PR | MD | Pediatric Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Recinto de Ciencias Medicas | Current | Accepting new patients | |
| Recinto de Ciencias Medicas | Pediatrics | Current | Accepting new patients |
| Corporacion Centro Cardiovascular de Puerto Rico Y del Caribe | Past | Accepting new patients |
Locations
Ave Americo Miranda
San Juan, PR 00935
Phone (787) 294-0512
BO Monacillos
San Juan, PR 00935
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Recinto de Ciencias Medicas-Cardiologia Pediatrica
- Pediatric Cardiology Physician
- San Juan, PR
- NPI 1841360187
Pediatrics
-
dba Cirugia Colorrectal RCM
- Colon & Rectal Surgery Physician
- San Juan, PR
- NPI 1538935051
-
- Special Hospital
- Rio Piedras, PR
- NPI 1225017916
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363824000000",
"number": "1548244155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "216 CALLE METIS",
"address_2": "PASEO DEL SOL",
"city": "DORADO",
"state": "PR",
"postal_code": "006464619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HOSPITAL PEDIATRICO UNIVERSITARIO",
"address_2": "DEPARTAMENTO DE PEDIATRIA",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009365067",
"telephone_number": "787-777-3535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARRION-VARGAS",
"first_name": "ENRIQUE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-06",
"last_updated": "2013-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PR",
"license": "12204",
"primary": true
},
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "PR",
"license": "12204",
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "PR",
"license": "12204",
"primary": false
}
],
"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 Mar 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.