Healthcare Provider Details

I. General information

NPI: 1467488650
Provider Name (Legal Business Name): HECTOR A VARGAS-SOTO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/23/2006
Last Update Date: 06/29/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

770 HOSTOS AVE SUITE 103
MAYAGUEZ PR
00682
US

IV. Provider business mailing address

PO BOX 998
SABANA GRANDE PR
00637-0998
US

V. Phone/Fax

Practice location:
  • Phone: 787-831-1425
  • Fax: 787-831-0181
Mailing address:
  • Phone: 787-831-1425
  • Fax: 787-986-7973

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License Number16855
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: