Organization Active NPI

Epic Cardiovascular Group

  • Cardiovascular Disease Physician
  • Mayaguez, PR
National Provider Identifier
1679165120
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
EPIC CARDIOVASCULAR GROUP
Practice address
111 Calle McKinley E
Mayaguez, PR 00680-5058
Phone
(787) 833-5567
NPI assigned
Feb 5, 2021
Last updated
May 26, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2021

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

Authorized official

Name
Dr. Edgar Jonathan Vazquez-Vargas, MDNPI 1932538675
Title
President
Phone
(787) 833-5567

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X Primary

Addresses

Primary practice location

111 Calle McKinley E
Mayaguez, PR 00680-5058

Mailing address

PO Box 473
Mayaguez, PR 00681-0473
Phone (787) 833-5567

Other names 1

  • E.C.G. Epic Cardiovascular Group Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210513001663 PR Part B Supplier - Clinic/Group Practice 8527477017 Receives reassigned benefits from 2 practitioners
Practice locations: Mayaguez, PR

National Provider Directory

National Provider Directory

Locations

111 Calle de la Candelaria E
Mayaguez, PR 00680
Phone (787) 833-5567

111 Calle de la Candelaria W
Mayaguez, PR 00680
Phone (787) 833-5567

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1612483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621987200000",
    "number": "1679165120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 473",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006810473",
            "telephone_number": "787-833-5567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 CALLE MCKINLEY E",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006805058",
            "telephone_number": "787-833-5567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPIC CARDIOVASCULAR GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-05",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ-VARGAS",
        "authorized_official_first_name": "EDGAR",
        "authorized_official_middle_name": "JONATHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-833-5567",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "E.C.G. Epic Cardiovascular Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mayaguez, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.