Provider Demographics
NPI:1851339774
Name:FREMIO VARGAS MD
Entity Type:Organization
Organization Name:FREMIO VARGAS MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:FREMIO
Authorized Official - Middle Name:
Authorized Official - Last Name:VARGAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:440-245-4470
Mailing Address - Street 1:221 W 21ST ST
Mailing Address - Street 2:
Mailing Address - City:LORAIN
Mailing Address - State:OH
Mailing Address - Zip Code:44052-4754
Mailing Address - Country:US
Mailing Address - Phone:440-244-0725
Mailing Address - Fax:440-244-0726
Practice Address - Street 1:221 W 21ST ST
Practice Address - Street 2:SUITE 5
Practice Address - City:LORAIN
Practice Address - State:OH
Practice Address - Zip Code:44052-4754
Practice Address - Country:US
Practice Address - Phone:440-245-4470
Practice Address - Fax:440-244-0726
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-03
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty