Northeastern Endocrinology, LLC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

Legal business name

NORTHEASTERN ENDOCRINOLOGY, LLC

Practice address

Cond Carolina CT Ste 308
Carolina, PR 00982-3501

Phone

(787) 635-8047

NPI assigned

Jan 16, 2024

Last updated

Jan 16, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Yanerys Agosto-Vargas, MDNPI 1629417803

Title

MD

Phone

(787) 635-8047

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Yanerys Agosto-Vargas

  • Endocrinology, Diabetes & Metabolism Physician
  • Carolina, PR
  • NPI 1629417803
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1705363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705363200000",
    "number": "1770344970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LAS HACIENDAS",
            "address_2": "1505 CALLE VEREDA VERDE",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "00729",
            "telephone_number": "787-635-8047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COND CAROLINA CT STE 308",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009823501",
            "telephone_number": "787-635-8047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEASTERN ENDOCRINOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-16",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-12",
        "status": "A",
        "authorized_official_last_name": "AGOSTO-VARGAS",
        "authorized_official_first_name": "YANERYS",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "787-635-8047",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elena M Nogales Perez, MD
• Norberto Medina Pellicer
• Norega Laboratories
• North Eastern Cardiology Group, Inc
• North Eastern Surgery Group Corp
• Northeastern Medical Network L.L.C.
• Northeastern, Pna Corp
• Myrna M Nunez Oben
• Axel Alejandro Nunez Rivera, MD
• Juan Rafael Nunez, M.D.

• Endocrinology, Diabetes & Metabolism Physician in Carolina, PR
• Providers in Carolina, PR by specialty
• Endocrinology, Diabetes & Metabolism Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.