Provider Demographics
NPI:1467900779
Name:NEURO SLEEP
Entity Type:Organization
Organization Name:NEURO SLEEP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NEUROLOGY, SLEEP MEDICINE
Authorized Official - Prefix:
Authorized Official - First Name:NOEL
Authorized Official - Middle Name:JOSE
Authorized Official - Last Name:VARGAS-PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-224-0974
Mailing Address - Street 1:HC 7 BOX 75622
Mailing Address - Street 2:
Mailing Address - City:SAN SEBASTIAN
Mailing Address - State:PR
Mailing Address - Zip Code:00685-7306
Mailing Address - Country:US
Mailing Address - Phone:787-224-0974
Mailing Address - Fax:
Practice Address - Street 1:180 AVE SEVERIANO CUEVAS
Practice Address - Street 2:
Practice Address - City:AGUADILLA
Practice Address - State:PR
Practice Address - Zip Code:00603
Practice Address - Country:US
Practice Address - Phone:787-224-0974
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-15
Last Update Date:2016-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR193862084N0400X, 2084S0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep MedicineGroup - Multi-Specialty
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Multi-Specialty