Provider Demographics
NPI:1356326375
Name:ARGUELLO, VIGARNY (MD)
Entity Type:Individual
Prefix:DR
First Name:VIGARNY
Middle Name:
Last Name:ARGUELLO
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 1:100 N STATE ROAD 7 STE 301A-B
Mailing Address - Street 2:
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063-4520
Mailing Address - Country:US
Mailing Address - Phone:954-933-9090
Mailing Address - Fax:954-933-9092
Practice Address - Street 1:100 N STATE ROAD 7 STE 301A-B
Practice Address - Street 2:
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33063-4520
Practice Address - Country:US
Practice Address - Phone:954-933-9090
Practice Address - Fax:954-933-9092
Is Sole Proprietor?:No
Enumeration Date:2005-12-13
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME79395207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL260667900Medicaid
FL260667400Medicaid
FLG63393Medicare UPIN
FL260667900Medicaid
FL260667400Medicaid
58544XMedicare PIN