Provider Demographics
NPI:1326000829
Name:VARGAS GONZALEZ, OSCAR ALBERTO (MD)
Entity Type:Individual
Prefix:DR
First Name:OSCAR
Middle Name:ALBERTO
Last Name:VARGAS GONZALEZ
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 1:165 EAST MENDEZ VIGO ST.
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00680
Mailing Address - Country:US
Mailing Address - Phone:787-834-4849
Mailing Address - Fax:787-831-4400
Practice Address - Street 1:165 MENDEZ VIGO E
Practice Address - Street 2:
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680-5049
Practice Address - Country:US
Practice Address - Phone:787-834-4849
Practice Address - Fax:787-831-4400
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-03
Last Update Date:2014-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR104982086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0089003Medicare ID - Type Unspecified
PRG46681Medicare UPIN