Active NPI
Liz I Vergara Cordero, M.D.
- General Practice Physician
- Las Piedras, PR
National Provider Identifier
1841508561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 18025
- Practice address
- Bo Montones 1 Carr 183 KM 19.3
Las Piedras, PR 00771-0077 - Phone
- (787) 733-9922
- NPI assigned
- Sep 15, 2010
- Sex
- Female
- Sole proprietor
- No
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 | 18025 | PR | Primary |
Addresses
Primary practice location
Bo Montones 1 Carr 183 KM 19.3
Las Piedras, PR 00771-0077
Mailing address
PO Box 1475
Las Piedras, PR 00771
Phone (787) 733-9922
Other practice location 1
Corporacion Puertorriquena de Salud
Ave. Luis Munoz Marin
Caguas, PR 00725
Phone (787) 653-5353
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
PO Box
Las Piedras, PR 00771
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18025 | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centro Medico del Turabo Inc | General Practice | Current | Accepting new patients |
| Centro Medico del Turabo Inc | Current | Accepting new patients |
Locations
100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Caguas, PR
- NPI 1710107883
General Practice
-
- Home Infusion Therapy Pharmacy
- Bayamon, PR
- NPI 1811632581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606780800000",
"number": "1841508561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1475",
"city": "LAS PIEDRAS",
"state": "PR",
"postal_code": "00771",
"telephone_number": "787-733-9922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BO MONTONES 1 CARR 183 KM 19.3",
"city": "LAS PIEDRAS",
"state": "PR",
"postal_code": "007710077",
"telephone_number": "787-733-9922"
}
],
"practiceLocations": [
{
"address_1": "Corporacion Puertorriquena de Salud",
"address_2": "Ave. Luis Munoz Marin",
"address_purpose": "LOCATION",
"city": "Caguas",
"state": "PR",
"postal_code": "00725",
"country_code": "US",
"telephone_number": "787-653-5353",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VERGARA CORDERO",
"first_name": "LIZ",
"middle_name": "I",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-15",
"last_updated": "2020-12-01",
"certification_date": "2020-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "18025",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Piedras, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.