Doctor Name: | DR. GLADYS VARGAS |
NPI Number: | 1821212259 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 6953 |
Business Practice Address: | Bo. Borinquen Carr 107 Km 1.1 Aguadilla, PR - 006054707 |
Business Phone Number: | 7879309984 |
Business Fax Number: | 7878919146 |
Mailing Address: | Po Box 4707, AGUADILLA |
State: | PR |
Postal Code: | 006054707 |
Phone Number: | 7879309984 |
Fax Number: | 7878919146 |
NPI Enumeration Date: | 04/13/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 6953 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |