DR. MARK ANTHONY VERGARA-GOMEZ (NPI# 1619179058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619179058 |
| Entity Type | Individual |
| Full Name | DR. MARK ANTHONY VERGARA-GOMEZ |
| Credential | M.D. |
| Practice Address |
Ave. 65th Infanteria Km 8.3 Carr. 3 Hospital Upr, Dr. Federico Trilla Carolina PR 00984 |
| Mailing Address |
Pmb 285 Po Box 1283 San Lorenzo PR 00754-1283 |
| Practice Telephone | 7877571800 |
| Mailing Telephone | 7872253452 |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2013-04-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
16704 | PR | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
16704 | PR | Allopathic & Osteopathic Physicians |
| N | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
16704 | PR | Allopathic & Osteopathic Physicians |
| Street Address |
AVE. 65TH INFANTERIA KM 8.3 CARR. 3 HOSPITAL UPR, DR. FEDERICO TRILLA |
| City | CAROLINA |
| State | PR |
| Zip Code | 00984 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053936229 | Damarys Mustelier Cedeno | Student in an Organized Health Care Education/Training Program | Km 8. P.r, 3 Cll 3, Carolina, PR 00984 | 2020-06-12 |
| 1427680321 | Wilfredo Estrada | Pharmacist | C9 Ave. Pontezuela, Carolina, PR 00984 | 2020-02-08 |
| 1730737412 | Frank Zorrilla-caballero | Student in an Organized Health Care Education/Training Program | Ave. 65 Infanteria Carr 3 Km 8.3, Carolina, PR 00984 | 2019-08-27 |
| 1295298842 | Thelma Susette Diaz | Student in an Organized Health Care Education/Training Program | Hospital Upr - Dr Federico Trilla Km 8. P.r, 3 Cii 3 Carolina, San Juan, PR 00984 | 2019-04-10 |
| 1619435187 | Christian Cintron Gonzalez | Student in an Organized Health Care Education/Training Program | Carr # 3 Km 8.0, Carolina, PR 00984 | 2019-03-04 |
| 1215492640 | Pr Professional Medical Services | Clinic/Center | 1400 De Diego 136, Escorial Building One, Carolina, PR 00984 | 2019-02-11 |
| 1356825012 | Speed Express Inc | Non-emergency Medical Transport (VAN) | Escorial Building One 1400 De Diego, Pmb 136, Carolina, PR 00984 | 2018-09-19 |
| 1508347840 | Laura Cristina Franqui Dominguez | Student in an Organized Health Care Education/Training Program | Km 8 Pr 3 Cll 3, Carolina, PR 00984 | 2018-08-24 |
| 1811483829 | Grettel Yanelys Alvarez Lopez | Student in an Organized Health Care Education/Training Program | Calle 3 Km 8, Carolina, PR 00984 | 2018-07-03 |
| 1649760307 | Analaura Santiago Perez | General Practice | Hospital Federico Trilla Km 8 Calle 3, Carolina, PR 00984 | 2018-05-17 |
| Find all providers in zip 00984 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205980919 | Yohana De Jesus | Internal Medicine | 4es5 Ave Fragoso, Villa Fontana, Carolina, PR 00983 | 2007-01-22 |
| 1558415265 | Laboratorio Pulmonar Carolina Inc | Internal Medicine | 4es5 Villa Fontana, Carolina, PR 00983 | 2007-01-22 |
| 1912915463 | Jose A. Mercado Montalvo | Internal Medicine | Ave. Campo Rico Calle 2 Bloq 1, Sabana Gardens, Carolina, PR 00983 | 2006-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053945022 | Dr Susoni Health Community Services Corp | Internal Medicine | Carr, 129 Km 1.0, Ave San Luis, Arecibo, PR 00613-0659 | 2020-02-27 |
| 1437639465 | Gga P.s.c. | Internal Medicine | Hima Plaza 1 Suite 408 100 Luis Munoz Marin Avenue, Caguas, PR 00725 | 2018-08-20 |
| 1083119846 | Jenss Psc | Internal Medicine | 400 Fd Roosevelt Avenue, Office 305, San Juan, PR 00918 | 2018-03-26 |
| 1538677786 | Momas Respiratory Care LLC | Internal Medicine | Carr #2 Bo Sabalos Avenida Hostos #410, Mayaguez, PR 00682 | 2018-01-22 |
| 1982159679 | Comprehensive Pulmonary Services LLC | Internal Medicine | 917 Ave Tito Castro Ste 701, Ponce, PR 00716-4717 | 2016-08-23 |
| 1992126577 | Dr. Arturo Cedeno Neumologo Csp | Internal Medicine | Avenida Severiano Cuevas # 18, Hospital Buen Samaritano, Aguadilla, PR 00603 | 2013-12-26 |
| 1891122263 | Dr. Axel W. Velez Santiago Csp | Internal Medicine | 58 Calle Dr Santiago Veve Ste 1, San German, PR 00683-4050 | 2013-10-01 |
| 1467791822 | Allianze Medical Services, Psc | Internal Medicine | Maramar Plaza Ste 1250, 101 San Patricio Ave, Guaynabo, PR 00968 | 2013-02-05 |
| 1295066124 | Carlos R. Alcala Marquez | Internal Medicine | Ave Arterial Hostos # 239, Capital Center Bldg. Suite 606, San Juan, PR 00918-1451 | 2010-01-15 |
| 1700020344 | Servicios Pulmonares Profesionales | Internal Medicine | Calle Santa Cruz # 73, Edificio Medico Santa Cruz, Oficina 202, Bayamon, PR 00961 | 2009-04-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.