Provider Demographics
NPI:1407929854
Name:VARGAS GARCIA, ARTURO (DDS)
Entity Type:Individual
Prefix:
First Name:ARTURO
Middle Name:
Last Name:VARGAS GARCIA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52 CALLE ANDRES OLIVER
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00612-4330
Mailing Address - Country:US
Mailing Address - Phone:787-878-5401
Mailing Address - Fax:787-878-5401
Practice Address - Street 1:52 CALLE ANDRES OLIVER
Practice Address - Street 2:
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612-4330
Practice Address - Country:US
Practice Address - Phone:787-878-5401
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR015341223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR066926OtherCRUZ AZUL DE PUERTO RICO
PR1194OtherFIRST MEDICAL
PR266412OtherCIGNA
PR4240006OtherPREFER HEALTH
PR41426OtherTRIPLE S