Carlos R Vergne LLC
Organization Active NPI General Practice Physician · Juana Diaz, PR
NPI 1699535526 · NPPES record last updated Jan 13, 2026
Key facts
- NPI
- 1699535526
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Physician 208D00000X
- Legal business name
- CARLOS R VERGNE LLC
- Practice address
- 100 Calle Comercio
Local 5
Juana Diaz, PR 00795-1679 - Phone
- (787) 260-0480
- Fax
- (787) 813-1010
- NPI assigned
- Mar 19, 2024
- Organization subpart
- No
Authorized official
- Name
- Carlos R Vergne Sotomayor, MD
- Title
- President
- Phone
- (787) 363-6629
Practitioners 6
-
Norma I Vergne Santiago, M.D.
-
Joan Cruz Rivera, PSY D.
-
Marilyn Ocasio Cedeno, PSY D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241024000001 | PR | Part B Supplier - Clinic/Group Practice | 7113450545 |
Receives reassigned benefits from 2 practitioners Practice locations: Juana Diaz, PR |
National Provider Directory
Locations
100 Calle Comercio
#5
Juana Diaz, PR 00795
Phone (787) 260-0480
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician |
208D00000X | Yes |
Addresses
Primary practice location
100 Calle Comercio
Local 5
Juana Diaz, PR 00795-1679
Mailing address
109 Palacios del Prado
Juana Diaz, PR 00795-2118
Phone (787) 260-0480
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 039737200 | Medicaid | PR |
Other providers in Juana Diaz, PR
- C. Rabel, Inc.
- Marilyn Cabrera Rios
- Carmen Leonor Campos Santiago
- Suzette Candelario
- Norimar Caraballo
- Ilia E Castanon
- Janira Castillo Playa
- Marcial Castillo
- Miriam Ivette Centeno Rivera
- Centro Ararat, Inc
All providers in Juana Diaz, PR · General Practice Physician in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.