Doctor Name: | DR. ABELARDO VARGAS |
NPI Number: | 1063416451 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 1254 |
Business Practice Address: | 53 Domingo Caceres Carolina, PR - 00985 |
Business Phone Number: | 7877527654 |
Business Fax Number: | 7877692977 |
Mailing Address: | Po Box 59, CAROLINA |
State: | PR |
Postal Code: | 009860059 |
Phone Number: | 7877527654 |
Fax Number: | 7877692977 |
NPI Enumeration Date: | 06/13/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 1254 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |