Individual provider Active NPI

Juan Carlos Galvez Vargas, M.D.

  • Sports Medicine (Family Medicine) Physician
  • Hollywood, FL
National Provider Identifier
1689847568
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
ME126491 Issued in FL
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, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161110002411 FL Practitioner - Sports MedicinePractitioner - Family PracticePractitioner - Internal Medicine 7618148446 Reassigns benefits to 2 organizations

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 IncGroup PAC ID 0547237497, shared by 11 NPIs, 209 clinicians
Ortho Florida LLCGroup PAC ID 3274616453, 121 clinicians

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

LicenseStateTypeSpecialty
53001MNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ortho Florida, LLC CurrentSince Feb 25, 2022 Accepting new patients
Marc J Hirsh MD PA CurrentSince Oct 24, 2016 Accepting new patients
Ortho Florida, LLC CurrentSince Feb 25, 2022 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.