Provider Demographics
NPI:1467488650
Name:VARGAS-SOTO, HECTOR A (MD)
Entity Type:Individual
Prefix:DR
First Name:HECTOR
Middle Name:A
Last Name:VARGAS-SOTO
Suffix:
Gender:M
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:PO BOX 998
Mailing Address - Street 2:
Mailing Address - City:SABANA GRANDE
Mailing Address - State:PR
Mailing Address - Zip Code:00637-0998
Mailing Address - Country:US
Mailing Address - Phone:787-831-1425
Mailing Address - Fax:787-986-7973
Practice Address - Street 1:770 HOSTOS AVE
Practice Address - Street 2:SUITE 103
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00682
Practice Address - Country:US
Practice Address - Phone:787-831-1425
Practice Address - Fax:787-831-0181
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-23
Last Update Date:2018-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16855207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR16855OtherPUERTO RICO DEPARTMENT OF HEALTH
PR16855OtherPUERTO RICO DEPARTMENT OF HEALTH