Provider Demographics
NPI:1285687830
Name:OSCAR VARGAS
Entity Type:Organization
Organization Name:OSCAR VARGAS
Other - Org Name:VARGAS AMBULANCE SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ACCOUNTANT
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:IVETTE
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-312-8828
Mailing Address - Street 1:PO BOX 285
Mailing Address - Street 2:
Mailing Address - City:AGUIRRE
Mailing Address - State:PR
Mailing Address - Zip Code:00704-0285
Mailing Address - Country:US
Mailing Address - Phone:787-312-8828
Mailing Address - Fax:787-853-0278
Practice Address - Street 1:150A CALLE MARLIN
Practice Address - Street 2:MONTESORIA II
Practice Address - City:AGUIRRE
Practice Address - State:PR
Practice Address - Zip Code:00704-7005
Practice Address - Country:US
Practice Address - Phone:787-312-8828
Practice Address - Fax:787-853-0278
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PRTCAMB-2923416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR=========OtherEIN
PR=========OtherEIN