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NPI Code Detail

MEDICARE: CARLOS IVAN TORRES VARGAS

MEDICARE: CARLOS IVAN TORRES VARGAS
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
1213E00000XPodiatristBLANKNJ

General Provider Information

NPI Number : 1174463962
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARLOS IVAN TORRES VARGAS
Provider Business Mailing Address
First Line : BELMONTE GALICIA 53
Second Line :
City : MAYAGUEZ
State : PR
Zip : 00680
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1505 W SHERMAN AVE
Second Line :
City : VINELAND
State : NJ
Zip : 08360-7059
Country : US
Telephone Number : 856-641-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2026
Last Update Date : 03/31/2026

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Directions to “ CARLOS IVAN TORRES VARGAS ” Practice Location

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