Provider Demographics
NPI:1255473484
Name:VARGAS, JOSE DEL C (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSE
Middle Name:DEL C
Last Name:VARGAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 250479
Mailing Address - Street 2:
Mailing Address - City:AGUADILLA
Mailing Address - State:PR
Mailing Address - Zip Code:00604-0479
Mailing Address - Country:US
Mailing Address - Phone:787-882-0303
Mailing Address - Fax:787-997-1680
Practice Address - Street 1:2 AVE VICTORIA
Practice Address - Street 2:
Practice Address - City:AGUADILLA
Practice Address - State:PR
Practice Address - Zip Code:00603-4728
Practice Address - Country:US
Practice Address - Phone:787-882-0303
Practice Address - Fax:787-997-1680
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR3453207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR63773OtherLA CRUZ AZUL PR
PR23378OtherTRIPLE S
PRE33083Medicare UPIN