Healthcare Provider Details

I. General information

NPI: 1427541291
Provider Name (Legal Business Name): VARMED MANAGEMENT GROUP CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/07/2018
Last Update Date: 11/18/2024
Certification Date: 11/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

AVE KENNDY NEWPORT IV CALLE SAN LUIS SUITE 202
SAN JUAN PR
00920
US

IV. Provider business mailing address

PO BOX 6350
BAYAMON PR
00960-5350
US

V. Phone/Fax

Practice location:
  • Phone: 787-705-5634
  • Fax: 833-798-4885
Mailing address:
  • Phone: 787-778-5353
  • Fax: 787-778-5302

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: JOSE VARGAS RODRIGUEZ
Title or Position: PRESIDENTE
Credential:
Phone: 787-705-5634