Individual provider Active NPI

Cristian Fernando Vargas Ramos, MD

  • Emergency Medicine Physician
  • Trujillo Alto, PR
National Provider Identifier
1750811337
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
57172 Issued in KY
Practice address
Calle 941 KM 14.7
Sector Brisas de la Gloria
Trujillo Alto, PR 00976
Phone
(787) 675-1629
NPI assigned
Jun 15, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 22340 PR
Emergency Medicine Physician 207P00000X 01088597A IN
Emergency Medicine Physician 207P00000X 57172 KY Primary

Addresses

Primary practice location

Calle 941 KM 14.7
Sector Brisas de la Gloria
Trujillo Alto, PR 00976

Mailing address

PO Box 1586
Trujillo Alto, PR 00977-1586
Phone (787) 675-1629

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, AR, NC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20221025003381 KY Practitioner - Emergency Medicine 1759757156 Reassigns benefits to 1 organization
I20231107001295 AR Practitioner - Emergency Medicine 1759757156 Reassigns benefits to 1 organization
I20251204003167 NC Practitioner - Emergency Medicine 1759757156 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Emergency Physicians LLCGroup PAC ID 2466364997, 776 clinicians

Practice addresses (Care Compare)

1140 Lexington Rd
Georgetown, KY 40324-9330
Phone (502) 868-1100

1808 W Main St
Russellville, AR 72801-2724
Phone (501) 968-2841

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22340PRMDLicensed Practical Nurse
57172KYMDEmergency Medicine Physician
TP020KYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Dec 1, 2025 Accepting new patients
Southeastern Emergency Physicians of Memphis LLC Emergency Medicine CurrentSince Sep 14, 2022 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Sep 14, 2022 Accepting new patients

Locations

4800 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 732-2100

1808 W Main St
Russellville, AR 72801
Phone (479) 964-4178

1451 N Gardner St
Scottsburg, IN 47170
Phone (812) 752-8500

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

1140 Lexington Rd
Georgetown, KY 40324
Phone (502) 868-1100

320 N Loretto Rd
Lebanon, KY 40033
Phone (270) 692-3161

1001 Saint Joseph Ln
London, KY 40741
Phone (606) 330-6000

615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699

288 S Ridgecrest Ave
Rutherfordton, NC 28139
Phone (252) 808-6000

265 Brookview Centre Way
Ste 400
Knoxville, TN 37919
Phone (865) 293-5549

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1750811337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1586",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009771586",
            "telephone_number": "787-675-1629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE 941 KM 14.7",
            "address_2": "SECTOR BRISAS DE LA GLORIA",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "00976",
            "telephone_number": "787-675-1629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGAS RAMOS",
        "first_name": "CRISTIAN",
        "middle_name": "FERNANDO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-15",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PR",
            "license": "22340",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01088597A",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "57172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trujillo Alto, PR

Sources for this page

Verify at the official NPI Registry.