| Doctor Name: | DR. WELLINGTON VARGAS VALDEZ |
| NPI Number: | 1073586053 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 10691 |
| Business Practice Address: | Pmb 108 2135 Suite 15 Carr 2 Bayamon, PR - 009595259 |
| Business Phone Number: | 7877790122 |
| Business Fax Number: | |
| Mailing Address: | Bosque Del Lago Plaza 8, Bc 25 TRUJILLO ALTO |
| State: | PR |
| Postal Code: | 009766039 |
| Phone Number: | 7876474307 |
| Fax Number: | |
| NPI Enumeration Date: | 02/09/2006 |
| NPI Last Update Date: | 10/18/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 10691 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |