Provider Demographics
NPI:1316020191
Name:VARGAS SOTO, FRANCISCO C (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANCISCO
Middle Name:C
Last Name:VARGAS SOTO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:390 AVE. DOMENECH
Mailing Address - Street 2:
Mailing Address - City:HATO REY
Mailing Address - State:PR
Mailing Address - Zip Code:00918
Mailing Address - Country:US
Mailing Address - Phone:787-764-7328
Mailing Address - Fax:787-753-7675
Practice Address - Street 1:390 AVE. DOMENECH
Practice Address - Street 2:
Practice Address - City:HATO REY
Practice Address - State:PR
Practice Address - Zip Code:00918
Practice Address - Country:US
Practice Address - Phone:787-764-7328
Practice Address - Fax:787-753-7675
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2018-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR72942085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR29742Medicare PIN