Individual provider Active NPI

Pedro Enrique Vargas-Otero, M.D.

  • Cardiovascular Disease Physician
  • San Juan, PR
National Provider Identifier
1548493729
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
18503 Issued in PR
Practice address
Centro Medico de Puerto Rico Bo Monacillos
Centro Cardiovascular de Puerto Rico Y El Caribe Ste 4
San Juan, PR 00935-0001
Phone
(787) 754-8500
Fax
(787) 758-7953
NPI assigned
Sep 3, 2009
Last updated
Aug 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 18503 PR
Cardiovascular Disease Physician 207RC0000X 18503 PR Primary

Addresses

Primary practice location

Centro Medico de Puerto Rico Bo Monacillos
Centro Cardiovascular de Puerto Rico Y El Caribe Ste 4
San Juan, PR 00935-0001

Mailing address

PO Box 29134
Cardiologia RCM
San Juan, PR 00929-0134
Phone (787) 754-0101

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170127000852 PR Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7517249501 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
University of Puerto Rico School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Recinto de Ciencias MedicasGroup PAC ID 3678469962, shared by 49 NPIs, 246 clinicians

Practice addresses (Care Compare)

1 ER Piso
Bo. Monacillos Centro Medico de Puerto Ric
Rio Piedras, PR 00935
Phone (787) 754-8500

Ave 65 Infanteria KM 8 HM
3 R.D.C.M. GRP Med Intrna Hac
Carolina, PR 00984-0001
Phone (787) 757-6420

CCPR Primer Piso
4 Bo. Monacillos Centro Medico de Puerto Ri
Rio Piedras, PR 00935
Phone 78775485001211

Hospital Universitario de Adultos
Bo. Monacillos Centro Medico de Puerto Ric
Rio Piedras, PR 00935
Phone 78775401013660

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
18503PRMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas Internal Medicine CurrentSince Nov 6, 2016 Accepting new patients
Recinto de Ciencias Medicas CurrentSince Nov 6, 2016 Accepting new patients
Recinto de Ciencias Medicas Cardiovascular Disease CurrentSince Nov 6, 2016 Accepting new patients
Recinto de Ciencias Medicas Cardiovascular Disease CurrentSince Nov 6, 2016 Accepting new patients
Departamento de Salud Oficial Past Accepting new patients
Corporacion Centro Cardiovascular de Puerto Rico Y del Caribe Past Accepting new patients

Locations

Centro Medico De Puerto Rico Bo Monacillos
San Juan, PR 00935
Phone (787) 751-6034

Ccpr Primer Piso
Ste 4
San Juan, PR 00935
Phone 78775485001211

1er Piso
San Juan, PR 00935

Organizations & group practices 6

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1251936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1548493729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29134",
            "address_2": "CARDIOLOGIA RCM",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009290134",
            "telephone_number": "787-754-0101",
            "fax_number": "787-758-7953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTRO MEDICO DE PUERTO RICO BO MONACILLOS",
            "address_2": "CENTRO CARDIOVASCULAR DE PUERTO RICO Y EL CARIBE STE 4",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009350001",
            "telephone_number": "787-754-8500",
            "fax_number": "787-758-7953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGAS-OTERO",
        "first_name": "PEDRO",
        "middle_name": "ENRIQUE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-03",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "18503",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "18503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.