Provider Demographics
NPI:1750811337
Name:VARGAS RAMOS, CRISTIAN FERNANDO (MD)
Entity type:Individual
Prefix:DR
First Name:CRISTIAN
Middle Name:FERNANDO
Last Name:VARGAS RAMOS
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:PO BOX 1586
Mailing Address - Street 2:
Mailing Address - City:TRUJILLO ALTO
Mailing Address - State:PR
Mailing Address - Zip Code:00977-1586
Mailing Address - Country:US
Mailing Address - Phone:787-675-1629
Mailing Address - Fax:
Practice Address - Street 1:CALLE 941 KM 14.7
Practice Address - Street 2:SECTOR BRISAS DE LA GLORIA
Practice Address - City:TRUJILLO ALTO
Practice Address - State:PR
Practice Address - Zip Code:00976
Practice Address - Country:US
Practice Address - Phone:787-675-1629
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-15
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR22340207P00000X
IN01088597A207P00000X
KY57172207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine