Active NPI
Juan Carlos Galvez Vargas, M.D.
- Sports Medicine (Family Medicine) Physician
- Hollywood, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- ME126491
- Practice address
- 3702 Washington St Ste 202
Hollywood, FL 33021-8283 - Phone
- (954) 964-6114
- Fax
- (954) 962-1994
- NPI assigned
- Apr 10, 2008
- Last updated
- Sep 12, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036128480 | IL | |
| Family Medicine Physician | 207Q00000X | A119932 | CA | |
| Family Medicine Physician | 207Q00000X | 53001 | MN | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | ME126491 | FL | Primary |
Addresses
Primary practice location
3702 Washington St Ste 202
Hollywood, FL 33021-8283
Mailing address
3702 Washington St Ste 202
Hollywood, FL 33021-8283
Phone (954) 964-6114
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Sports Medicine
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rehabclinics Pta Inc
Practice addresses (Care Compare)
13645 Biscayne Blvd
North Miami Beach, FL 33181-1617
Phone (305) 949-2700
1601 Clint Moore Rd
Suite 125
Boca Raton, FL 33487-5714
Phone (561) 939-0800
1817 E Commercial Blvd
Ft Lauderdale, FL 33308-3767
Phone (954) 836-8980
3600 Washington St
Hollywood, FL 33021-8216
Phone (954) 966-4500
660 Glades Rd
Suite 360
Boca Raton, FL 33431-6469
Phone (561) 391-5515
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53001 | MN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ortho Florida, LLC | Current | Accepting new patients | |
| Marc J Hirsh MD PA | Current | Accepting new patients | |
| Ortho Florida, LLC | Current | Accepting new patients | |
| VHS of Illinois Inc | Family Medicine | Past | Accepting new patients |
Locations
1601 Clint Moore Rd
Ste 125
Boca Raton, FL 33487
Phone (561) 395-5733
660 Glades Rd
Ste 460
Boca Raton, FL 33431
Phone (561) 300-1792
14610 S Military Trl
Ste G3
Delray Beach, FL 33484
Phone (561) 819-3100
15300 S Jog Rd
Ste 101
Delray Beach, FL 33446
Phone (561) 734-4545
3702 Washington St
Ste 202
Hollywood, FL 33021
Phone (954) 964-6114
Interoperability endpoints
- juancarlos.galvezvargas.p1@direct.arcshare.nextgenshare.com
Organizations & group practices 4
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.
-
- Specialist
- Boca Raton, FL
- NPI 1821113192
-
dba Wells Orthopedic Surgery & Sports Medicine
- Orthopaedic Surgery Physician
- Fort Lauderdale, FL
- NPI 1225833858
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Memorial Regional Hospital
- General Acute Care Hospital
- Hollywood, FL
- NPI 1780667923
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694476800000",
"number": "1689847568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3702 WASHINGTON ST STE 202",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330218283",
"telephone_number": "954-964-6114",
"fax_number": "954-962-1994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3702 WASHINGTON ST STE 202",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330218283",
"telephone_number": "954-964-6114",
"fax_number": "954-962-1994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALVEZ VARGAS",
"first_name": "JUAN CARLOS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-04-10",
"last_updated": "2023-09-12",
"certification_date": "2023-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036128480",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A119932",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "53001",
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "FL",
"license": "ME126491",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.
- 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.