MEDICARE: HECTOR LEONEL VARAS JR.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program
2	208M00000X	Hospitalist Physician	ME145314	FL
3	207R00000X	Internal Medicine Physician	ME145314	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1437681350
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HECTOR LEONEL VARAS JR.

Provider Business Mailing Address
First Line	:	3297 SW 25TH TER
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33133-2019
Country	:	US
Telephone Number	:	786-503-4085
Fax Number	:

Provider Business Practice Location Address
First Line	:	6050 W 20TH AVE FL 3
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33016-2605
Country	:	US
Telephone Number	:	786-584-5555
Fax Number	:	786-584-5060

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/30/2017
Last Update Date	:	05/30/2023

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