Provider Demographics
NPI:1376250431
Name:VARGAS GONZALEZ, OSBEL (RN)
Entity Type:Individual
Prefix:
First Name:OSBEL
Middle Name:
Last Name:VARGAS GONZALEZ
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:234 NE 13TH PL
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33909-2608
Mailing Address - Country:US
Mailing Address - Phone:239-645-2730
Mailing Address - Fax:
Practice Address - Street 1:234 NE 13TH PL
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33909-2608
Practice Address - Country:US
Practice Address - Phone:239-645-2730
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-28
Last Update Date:2022-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9514804163WG0000X, 163WC0200X, 163WH0200X, 163WH1000X, 163WP0200X, 163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine
No163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163WH1000XNursing Service ProvidersRegistered NurseHospice
No163WP0200XNursing Service ProvidersRegistered NursePediatrics
No163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult