Doctor Name: | DR. RONALD B VIGO VIGO |
NPI Number: | 1326356395 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M. D. |
License Number: | 12707-I |
Business Practice Address: | 2225 Ponce Byp Ste 407 Ponce, PR - 007171322 |
Business Phone Number: | 7874648337 |
Business Fax Number: | |
Mailing Address: | Po Box 997, ANASCO |
State: | PR |
Postal Code: | 006100997 |
Phone Number: | 7874648337 |
Fax Number: | |
NPI Enumeration Date: | 09/23/2010 |
NPI Last Update Date: | 03/30/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 12707-I |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |