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NPI Code Detail

MEDICARE: JOSE L VARGAS MD

MEDICARE: JOSE L 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
1208100000XPhysical Medicine & Rehabilitation PhysicianME90218FL
22081S0010XSports Medicine (Physical Medicine & Rehabilitation) PhysicianME90218FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
250380OTHERFLBLUE CROSS & BLUE SHIELD

General Provider Information

NPI Number : 1295874840
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSE L VARGAS MD
Provider Business Mailing Address
First Line : 1776 WOODSTEAD CT STE 208
Second Line :
City : THE WOODLANDS
State : TX
Zip : 77380-1480
Country : US
Telephone Number : 877-749-7428
Fax Number : 512-628-3314
Provider Business Practice Location Address
First Line : 2525 SW 75TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33155-2800
Country : US
Telephone Number : 305-260-1852
Fax Number : 305-265-4824
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2007
Last Update Date : 02/21/2020

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