MEDICARE: DR. LORNA ALEXANDRA VARGAS MD

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	207W00000X	Ophthalmology Physician	14121	PR

General Provider Information

NPI Number	:	1942208509
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LORNA ALEXANDRA VARGAS MD

Provider Business Mailing Address
First Line	:	PO BOX 10431
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00922-0431
Country	:	US
Telephone Number	:	787-728-3399
Fax Number	:	787-726-0600

Provider Business Practice Location Address
First Line	:	611 CALLE EUROPA STE 212
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00909
Country	:	US
Telephone Number	:	787-728-3399
Fax Number	:	787-726-0600

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

Provider Enumeration Date	:	07/08/2005
Last Update Date	:	08/03/2022

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