Provider Demographics
NPI:1942208509
Name:VARGAS, LORNA ALEXANDRA (MD)
Entity Type:Individual
Prefix:DR
First Name:LORNA
Middle Name:ALEXANDRA
Last Name:VARGAS
Suffix:
Gender:F
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:PO BOX 10431
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00922-0431
Mailing Address - Country:US
Mailing Address - Phone:787-728-3399
Mailing Address - Fax:787-726-0600
Practice Address - Street 1:611 CALLE EUROPA STE 212
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00909
Practice Address - Country:US
Practice Address - Phone:787-728-3399
Practice Address - Fax:787-726-0600
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-08
Last Update Date:2022-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR14121207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology