Provider Demographics
NPI:1902669104
Name:VARGAS RAMOS, DARVING
Entity type:Individual
Prefix:
First Name:DARVING
Middle Name:
Last Name:VARGAS RAMOS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6117 FM 969 RD APT 1312
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78724-5363
Mailing Address - Country:US
Mailing Address - Phone:516-492-9698
Mailing Address - Fax:
Practice Address - Street 1:491 MERRICK RD APT A3
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:NY
Practice Address - Zip Code:11572-1401
Practice Address - Country:US
Practice Address - Phone:516-492-9698
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-01
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1154643363LF0000X
NY353444363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily