Active NPI
Cristian Fernando Vargas Ramos, MD
- Emergency Medicine Physician
- Trujillo Alto, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 57172
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 22340 | PR | MD | Licensed Practical Nurse |
| 57172 | KY | MD | Emergency Medicine Physician |
| TP020 | KY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Coverage, LLC | Emergency Medicine | Current | Accepting new patients |
| Southeastern Emergency Physicians of Memphis LLC | Emergency Medicine | Current | Accepting new patients |
| Southeastern Emergency Physicians LLC | Emergency Medicine | Current | 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.
-
- Emergency Medicine Physician
- Alton, IL
- NPI 1437105277
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Lebanon, KY
- NPI 1780746420
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; 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.