Provider Demographics
NPI:1528214137
Name:VARGAS, MANUEL I (MD)
Entity Type:Individual
Prefix:DR
First Name:MANUEL
Middle Name:I
Last Name:VARGAS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1 DEPT. DE SALUD, CENTRO MEDICO
Mailing Address - Street 2:ANTIGUO HOSPITAL DE PSIQUIATRIA, PABELLON #3
Mailing Address - City:RIO PIEDRAS
Mailing Address - State:PR
Mailing Address - Zip Code:00922
Mailing Address - Country:US
Mailing Address - Phone:787-274-5680
Mailing Address - Fax:787-282-7274
Practice Address - Street 1:1 DEPT. DE SALUD, CENTRO MEDICO
Practice Address - Street 2:ANTIGUO HOSPITAL DE PSIQUIATRIA, PABELLON #3
Practice Address - City:RIO PIEDRAS
Practice Address - State:PR
Practice Address - Zip Code:00922
Practice Address - Country:US
Practice Address - Phone:787-274-5680
Practice Address - Fax:787-282-7274
Is Sole Proprietor?:No
Enumeration Date:2008-08-14
Last Update Date:2008-08-14
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Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR006916207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology