Individual provider Active NPI

Jenniffer Marie Vargas Santos, M.D.

  • Internal Medicine Physician
  • Ponce, PR
National Provider Identifier
1831276732
Registry record updated Feb 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
15708 Issued in PR
Practice address
8118 Calle Concordia
Edificio Galeria Profesional Suite 209
Ponce, PR 00717-1562
Phone
(787) 651-6300
Fax
(787) 651-3877
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 15708 PR Primary

Addresses

Primary practice location

8118 Calle Concordia
Edificio Galeria Profesional Suite 209
Ponce, PR 00717-1562

Mailing address

8118 Calle Concordia
Edificio Galeria Profesional Suite 209
Ponce, PR 00717-1562
Phone (787) 651-6300

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
I20070508000620 PR Practitioner - Internal Medicine 1456457449 Practice locations: Ponce, PR

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Ponce School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8118 Concordia St
Galeria Profesional Building Suite 209
Ponce, PR 00717-1590

Hospital & facility affiliations

  • Hospital Damas Inc Hospital, Ponce, PR, CCN 400022

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Damas Inc Past Accepting new patients
Tiber Health, Public Benefit Corporation Internal Medicine Past Accepting new patients
Southern Internal Medicine Group, Inc. Internal Medicine PastSince Sep 19, 2013 Accepting new patients

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362009600000",
    "number": "1831276732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8118 CALLE CONCORDIA",
            "address_2": "EDIFICIO GALERIA PROFESIONAL SUITE 209",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171562",
            "telephone_number": "787-651-6300",
            "fax_number": "787-651-3877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8118 CALLE CONCORDIA",
            "address_2": "EDIFICIO GALERIA PROFESIONAL SUITE 209",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171562",
            "telephone_number": "787-651-6300",
            "fax_number": "787-651-3877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGAS SANTOS",
        "first_name": "JENNIFFER",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2013-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "15708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.