Julio Angel Vergara Cordero, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

19310 Issued in PR

Practice address

Bo Montones 1 Carr 183 KM 19.3
Las Piedras, PR 00771

Phone

(787) 733-9922

NPI assigned

Dec 2, 2013

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

Specialty

General Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Caribe Physicians Plaza Corporation

  • General Acute Care Hospital
  • Fajardo, PR
  • NPI 1215051404
  Medicare reassignment NPD
• Laboratorio Clinico Y de Ref de Fajardo Inc

  • Clinical Medical Laboratory
  • Rio Grande, PR
  • NPI 1639908643
  NPD

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

{
    "created_epoch": "1385942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606089600000",
    "number": "1619308681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1475",
            "city": "LAS PIEDRAS",
            "state": "PR",
            "postal_code": "007711475",
            "telephone_number": "787-733-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BO MONTONES 1 CARR 183 KM 19.3",
            "city": "LAS PIEDRAS",
            "state": "PR",
            "postal_code": "00771",
            "telephone_number": "787-733-9922"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Urb Villa Hilda D-2",
            "address_purpose": "LOCATION",
            "city": "Yabucoa",
            "state": "PR",
            "postal_code": "00767",
            "country_code": "US",
            "telephone_number": "787-893-1580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VERGARA CORDERO",
        "first_name": "JULIO",
        "middle_name": "ANGEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-12-02",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "19310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Velazquez
• Yisel Velazquez, SOCIAL WORK
• Zulma J Velazquez, M.D.
• Camille Velez-Alamo
• Verector Medical Transport, Inc.
• Liz I Vergara Cordero, M.D.
• Luis E Viloria, PHARMACIST
• Vitalshape Wellness LLC
• Vive Psicologia Integral LLC
• Glenda Elisa Vizcarrondo

• General Practice Physician in Las Piedras, PR
• Providers in Las Piedras, 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 Nov 23, 2020; 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.
• 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.