Individual provider Active NPI

Elvin Vigo Paredes, M.D.

  • General Practice Physician
  • Anasco, PR
National Provider Identifier
1962552349
Registry record updated Mar 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
9539 Issued in PR
Practice address
37 Calle San Antonio
Anasco, PR 00610-2929
Phone
(787) 826-0440
Fax
(787) 826-0440
NPI assigned
Jan 10, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 9539 PR Primary
Primary Care Clinic/Center 261QP2300X 9539 PR

Addresses

Primary practice location

37 Calle San Antonio
Anasco, PR 00610-2929

Mailing address

PO Box 997
Anasco, PR 00610-0997
Phone (787) 826-0440

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
I20130211000175 PR Practitioner - General Practice 3577717073 Reassigns benefits to 1 organization
Practice locations: Anasco, PR

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vigo Medical Group LLC General Practice CurrentSince Nov 14, 2023 Accepting new patients
Asociacion de Medicos del Oeste, Inc. PastSince Nov 14, 2023 Accepting new patients

Locations

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363046400000",
    "number": "1962552349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 997",
            "city": "ANASCO",
            "state": "PR",
            "postal_code": "006100997",
            "telephone_number": "787-826-0440",
            "fax_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": "006102929",
            "telephone_number": "787-826-0440",
            "fax_number": "787-826-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIGO PAREDES",
        "first_name": "ELVIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2013-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "9539",
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "PR",
            "license": "9539",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anasco, PR

Sources for this page

Verify at the official NPI Registry.