Provider Demographics
NPI:1417507740
Name:VARGAS ZAPATA, DANIEL ANDRES (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:ANDRES
Last Name:VARGAS ZAPATA
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Gender:M
Credentials:MD
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Mailing Address - Street 1:330 BROOKLINE AVE # ES-215
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215-5491
Mailing Address - Country:US
Mailing Address - Phone:617-667-3536
Mailing Address - Fax:617-667-8212
Practice Address - Street 1:330 BROOKLINE AVE # ES-215
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-5491
Practice Address - Country:US
Practice Address - Phone:617-667-3536
Practice Address - Fax:617-667-8212
Is Sole Proprietor?:No
Enumeration Date:2019-09-18
Last Update Date:2019-09-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA2811792085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology