Provider Demographics
NPI:1619231826
Name:RODRIGUEZ VARGAS, FELIX MARIA (MD)
Entity Type:Individual
Prefix:DR
First Name:FELIX
Middle Name:MARIA
Last Name:RODRIGUEZ VARGAS
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:HC 2 BOX 4882
Mailing Address - Street 2:
Mailing Address - City:GUAYAMA
Mailing Address - State:PR
Mailing Address - Zip Code:00784-7586
Mailing Address - Country:US
Mailing Address - Phone:787-430-5272
Mailing Address - Fax:
Practice Address - Street 1:HC 2 BOX 4882
Practice Address - Street 2:
Practice Address - City:GUAYAMA
Practice Address - State:PR
Practice Address - Zip Code:00784-7586
Practice Address - Country:US
Practice Address - Phone:787-430-5272
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-02
Last Update Date:2012-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR28907R390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program