Active NPI
Jose Angel Vergara Sr.
- Pharmacist
- Caguas, PR
National Provider Identifier
1619517802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 4214
- Practice address
- Ave Pino Local 51 Plaza del Carmen Mall
Caguas, PR 00725 - Phone
- (787) 743-1273
- Fax
- (787) 743-5929
- NPI assigned
- Jan 15, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 4214 | PR | Primary |
Addresses
Primary practice location
Ave Pino Local 51 Plaza del Carmen Mall
Caguas, PR 00725
Mailing address
Farmacias Caridad Plaza del Carmen Mall
Caguas, PR 00725
Phone (787) 743-1273
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4214 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579046400000",
"number": "1619517802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "FARMACIAS CARIDAD PLAZA DEL CARMEN MALL",
"city": "CAGUAS",
"state": "PR",
"postal_code": "00725",
"telephone_number": "787-743-1273",
"fax_number": "787-743-5929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVE PINO LOCAL 51 PLAZA DEL CARMEN MALL",
"city": "CAGUAS",
"state": "PR",
"postal_code": "00725",
"telephone_number": "787-743-1273",
"fax_number": "787-743-5929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERGARA",
"first_name": "JOSE",
"middle_name": "ANGEL",
"name_suffix": "Sr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-01-15",
"last_updated": "2020-01-15",
"certification_date": "2020-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "4214",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Caguas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.