Organization Active NPI

Vigo Medical Group LLC

  • General Practice Physician
  • Anasco, PR
National Provider Identifier
1801448113
Registry record updated Jul 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
VIGO MEDICAL GROUP LLC
Practice address
37 Calle San Antonio
Anasco, PR 00610-3092
Phone
(787) 826-0440
NPI assigned
Jul 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2019

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

Authorized official

Name
Elvin Vigo Paredes, MDNPI 1962552349
Title
President
Phone
(787) 826-0440

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

37 Calle San Antonio
Anasco, PR 00610-3092

Mailing address

37 Calle San Antonio
Anasco, PR 00610-3092
Phone (787) 826-0440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240123004100 PR Part B Supplier - Clinic/Group Practice 9032561279 Receives reassigned benefits from 2 practitioners
Practice locations: Anasco, PR

National Provider Directory

National Provider Directory

Locations

37 Calle San Antonio
Anasco, PR 00610
Phone (787) 826-0440

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1563235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563235200000",
    "number": "1801448113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 CALLE SAN ANTONIO",
            "city": "ANASCO",
            "state": "PR",
            "postal_code": "006103092",
            "telephone_number": "787-826-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 CALLE SAN ANTONIO",
            "city": "ANASCO",
            "state": "PR",
            "postal_code": "006103092",
            "telephone_number": "787-826-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIGO MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-16",
        "last_updated": "2019-07-16",
        "status": "A",
        "authorized_official_last_name": "VIGO PAREDES",
        "authorized_official_first_name": "ELVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-826-0440",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anasco, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; 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.