Provider Demographics
NPI:1750394052
Name:ALGARIN ALGARIN, VLADIMIR E (MD)
Entity type:Individual
Prefix:
First Name:VLADIMIR
Middle Name:E
Last Name:ALGARIN ALGARIN
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:STREET ARZUAGA
Mailing Address - Street 2:
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00985
Mailing Address - Country:US
Mailing Address - Phone:787-466-3571
Mailing Address - Fax:
Practice Address - Street 1:IGNACIO ARZUAGA STREET
Practice Address - Street 2:5-E
Practice Address - City:CAROLINA
Practice Address - State:PUERTO RICO
Practice Address - Zip Code:00985
Practice Address - Country:UM
Practice Address - Phone:787-466-3571
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-15
Last Update Date:2019-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR15824208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR23163Medicare ID - Type Unspecified
PRI33507Medicare UPIN