Provider Demographics
NPI:1891993952
Name:VARGAS OFFICE
Entity Type:Organization
Organization Name:VARGAS OFFICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:VARGAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-601-7880
Mailing Address - Street 1:PO BOX 1235
Mailing Address - Street 2:
Mailing Address - City:SAN GERMAN
Mailing Address - State:PR
Mailing Address - Zip Code:00683-1235
Mailing Address - Country:US
Mailing Address - Phone:787-601-7880
Mailing Address - Fax:787-892-0841
Practice Address - Street 1:LUNA STREET
Practice Address - Street 2:
Practice Address - City:SAN GERMAN
Practice Address - State:PR
Practice Address - Zip Code:00683-1235
Practice Address - Country:US
Practice Address - Phone:787-601-7880
Practice Address - Fax:787-892-0841
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service