Individual provider Active NPI

Joyce Lynn Vargas-Gonzalez, M.D.

  • General Practice Physician
  • Juana Diaz, PR
National Provider Identifier
1801855523
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
14411 Issued in PR
Practice address
Carr 149 KM 63.8 Guayabal
Edificio Cruz, Suite 4
Juana Diaz, PR 00795
Phone
(787) 837-5577
Fax
(787) 843-4362
NPI assigned
Mar 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 14411 PR Primary

Addresses

Primary practice location

Carr 149 KM 63.8 Guayabal
Edificio Cruz, Suite 4
Juana Diaz, PR 00795

Mailing address

1217 Calle Don Quijote
Costa Caribe Resort
Ponce, PR 00716-2020
Phone (787) 347-0618

Other identifiers 1

IdentifierTypeStateIssuer
14411OtherPRLICENCIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
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 1

Enrollment IDStateProvider typePAC IDDetails
I20131113001932 PR Practitioner - General Practice 5597707851 Practice locations: Juana Diaz, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Bo Guayabal Carr 149 KM
8 Professional Building Suite 2001
Juana Diaz, PR 00795
Phone (787) 837-5577

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1801855523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 CALLE DON QUIJOTE",
            "address_2": "COSTA CARIBE RESORT",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007162020",
            "telephone_number": "787-347-0618",
            "fax_number": "787-843-4362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 149 KM 63.8 GUAYABAL",
            "address_2": "EDIFICIO CRUZ, SUITE 4",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "00795",
            "telephone_number": "787-837-5577",
            "fax_number": "787-843-4362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGAS-GONZALEZ",
        "first_name": "JOYCE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-21",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "14411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCIA",
            "identifier": "14411",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Juana Diaz, PR

Sources for this page

Verify at the official NPI Registry.