Provider Demographics
NPI:1427405752
Name:VARGAS, SIGELLA (MD)
Entity Type:Individual
Prefix:
First Name:SIGELLA
Middle Name:
Last Name:VARGAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1276 FULTON AVENUE
Mailing Address - Street 2:5TH FLOOR
Mailing Address - City:SOUTH BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10453
Mailing Address - Country:US
Mailing Address - Phone:718-901-8653
Mailing Address - Fax:
Practice Address - Street 1:1276 FULTON AVENUE
Practice Address - Street 2:5TH
Practice Address - City:SOUTH BRONX
Practice Address - State:NY
Practice Address - Zip Code:10453
Practice Address - Country:US
Practice Address - Phone:718-901-8653
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-17
Last Update Date:2016-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program