Active NPI
Juan E. Vargas Fernandez, M.D.
- General Practice Physician
- Carolina, PR
National Provider Identifier
1821214255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 12712
- Practice address
- Cond. Villas Parque de Escorial
Edif. E Apt. 1203
Carolina, PR 00987 - Phone
- (787) 763-7521
- Fax
- (787) 763-2480
- NPI assigned
- Apr 17, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 12712 | PR | Primary |
Addresses
Primary practice location
Cond. Villas Parque de Escorial
Edif. E Apt. 1203
Carolina, PR 00987
Mailing address
Cond. Villas Parque de Escorial
Edif. E Apt. 1203
Carolina, PR 00987
Phone (787) 763-7521
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12712 | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ges de San Juan, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Preferred Provider Organization
- San Juan, PR
- NPI 1669508156
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550707200000",
"number": "1821214255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "COND. VILLAS PARQUE DE ESCORIAL",
"address_2": "EDIF. E APT. 1203",
"city": "CAROLINA",
"state": "PR",
"postal_code": "00987",
"telephone_number": "787-763-7521",
"fax_number": "787-763-2480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "COND. VILLAS PARQUE DE ESCORIAL",
"address_2": "EDIF. E APT. 1203",
"city": "CAROLINA",
"state": "PR",
"postal_code": "00987",
"telephone_number": "787-763-7521",
"fax_number": "787-763-2480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARGAS FERNANDEZ",
"first_name": "JUAN",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-17",
"last_updated": "2019-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "12712",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carolina, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.