Carlos Augusto Vargas, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

21508 Issued in PR

Practice address

1395 Calle San Rafael
San Juan, PR 00909-2518

Phone

(787) 999-7620

NPI assigned

Jun 20, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• CCS PSC

  • Cardiovascular Disease Physician
  • Guaynabo, PR
  • NPI 1174907760
  NPD (past)
• Interventional Solutions PSC

  • Vascular & Interventional Radiology Physician
  • San Juan, PR
  • NPI 1174945893
  NPD (past)

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677196800000",
    "number": "1578083721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB PACIFICA ENCANTADA",
            "address_2": "PG 100 VIA ARCOIRIS",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "00976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 CALLE SAN RAFAEL",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009092518",
            "telephone_number": "787-999-7620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "EDIF JESUS T PINEIRO",
            "address_2": "AVE FERNANDEZ JUNCOS ESQUINA MOLINILLO",
            "address_purpose": "LOCATION",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00985",
            "country_code": "US",
            "telephone_number": "787-626-3322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VARGAS",
        "first_name": "CARLOS",
        "middle_name": "AUGUSTO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-20",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "21508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pedro Enrique Vargas-Otero, M.D.
• Lymari Vargas-Rivera, MD
• Alba Ines Vargas, PSYCHOLOGIST
• Alexis Vargas
• Berkis Vargas, MT
• Carlos Enrique Vargas
• Eddie J Vargas
• Gerardo Vargas, CRNA
• Iris M Vargas, PH.D.
• Jonathan Vargas, M.D

• General Practice Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; 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.

Verify at the official NPI Registry.