Provider Demographics
NPI:1417670472
Name:VARMED HEALTH CENTER LLC
Entity Type:Organization
Organization Name:VARMED HEALTH CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTE
Authorized Official - Prefix:
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:J
Authorized Official - Last Name:VARGAS
Authorized Official - Suffix:
Authorized Official - Credentials:PRESIDENTE
Authorized Official - Phone:787-778-5353
Mailing Address - Street 1:PO BOX 6350
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00960-5350
Mailing Address - Country:US
Mailing Address - Phone:787-778-5353
Mailing Address - Fax:787-778-5302
Practice Address - Street 1:CALLE MANUEL F ROSSY
Practice Address - Street 2:ESQ ISABEL II
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959
Practice Address - Country:US
Practice Address - Phone:787-778-5353
Practice Address - Fax:787-778-5302
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VARMED HEALTH CENTER LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-09-23
Last Update Date:2022-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR039267400Medicaid
PF583OtherPTAN