Individual provider Active NPI

Yanerys Agosto-Vargas

  • Endocrinology, Diabetes & Metabolism Physician
  • Carolina, PR
National Provider Identifier
1629417803
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
19284 Issued in PR
Practice address
Cond Carolina CT Ste 308
Carolina, PR 00982-3501
Phone
(787) 635-8047
NPI assigned
Jun 20, 2013
Last updated
Feb 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 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 29677R PR
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 19284 PR Primary

Addresses

Primary practice location

Cond Carolina CT Ste 308
Carolina, PR 00982-3501

Mailing address

15015 Calle Vereda Verde
Canovanas, PR 00729-9622
Phone (787) 635-8047

Other practice location 1

Villa Fontana
5 Ave. Sanchez Osorio A3
Carolina, PR 00983
Phone (787) 762-2380

Other practice location 2

Parque Centro
Bo Monacillos
San Juan, PR 00918-5000
Phone (787) 480-5856

Other practice location 3

Parque Centro
Bo Monacillos
San Juan, PR 00918-5000
Phone (787) 480-5856

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
I20190619001455 PR Practitioner - Endocrinology 6204160666 Reassigns benefits to 1 organization
Practice locations: Carolina, PR

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Carolina Shopping Court
10000 Ave 65 de Infanteria Sexto Piso Ofic
Carolina, PR 00985-5672
Phone (787) 474-2263

Villa Fontana
Ave Sanchez Osorio A3
Carolina, PR 00983
Phone (787) 635-8047

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29677RPRMDInternal Medicine Physician
19284PRMDEndocrinology, Diabetes & Metabolism Physician

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1371686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1629417803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15015 CALLE VEREDA VERDE",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "007299622",
            "telephone_number": "787-635-8047",
            "fax_number": "787-641-4561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COND CAROLINA CT STE 308",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009823501",
            "telephone_number": "787-635-8047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Villa Fontana",
            "address_2": "5 Ave. Sanchez Osorio A3",
            "address_purpose": "LOCATION",
            "city": "Carolina",
            "state": "PR",
            "postal_code": "00983",
            "country_code": "US",
            "telephone_number": "787-762-2380",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Parque Centro",
            "address_2": "Bo Monacillos",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009185000",
            "country_code": "US",
            "telephone_number": "787-480-5856",
            "fax_number": "787-765-5147",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Parque Centro",
            "address_2": "Bo Monacillos",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009185000",
            "country_code": "US",
            "telephone_number": "787-480-5856",
            "fax_number": "787-765-5147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGOSTO-VARGAS",
        "first_name": "YANERYS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-20",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "29677R",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "PR",
            "license": "19284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

Verify at the official NPI Registry.