Provider Demographics
NPI:1801952114
Name:VARGAS RODRIGUEZ, DIANABELLE (MD)
Entity type:Individual
Prefix:DR
First Name:DIANABELLE
Middle Name:
Last Name:VARGAS RODRIGUEZ
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:CALLE JILGUERO 2221
Mailing Address - Street 2:BRISAS DEL PRADO
Mailing Address - City:SANTA ISABEL
Mailing Address - State:PR
Mailing Address - Zip Code:00757
Mailing Address - Country:US
Mailing Address - Phone:787-845-5300
Mailing Address - Fax:
Practice Address - Street 1:PASO SECO RD 153
Practice Address - Street 2:SECTOR EL OJO 456
Practice Address - City:SANTA ISABEL
Practice Address - State:PR
Practice Address - Zip Code:00757-2580
Practice Address - Country:US
Practice Address - Phone:787-845-5300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-29
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR15585208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0023143Medicare ID - Type UnspecifiedMEDICARE