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NPI Code Detail

MEDICARE: MR. MIGUEL ANGEL VARGAS-LAGUNAS M.D.

MEDICARE: MR. MIGUEL ANGEL VARGAS-LAGUNAS M.D.
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
1207R00000XInternal Medicine Physician12464NV
2193400000XSingle Specialty Group12464NV
3261QU0200XUrgent Care Clinic/Center12464NV

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2V108104OTHERNVMEDICARE PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1356551873
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MIGUEL ANGEL VARGAS-LAGUNAS M.D.
Provider Business Mailing Address
First Line : 2465 REYNOLDS AVE STE 101
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89030-7296
Country : US
Telephone Number : 702-476-9600
Fax Number : 702-476-8972
Provider Business Practice Location Address
First Line : 2465 REYNOLDS AVE STE 101
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89030-7296
Country : US
Telephone Number : 702-476-9600
Fax Number : 702-476-8972
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2007
Last Update Date : 03/22/2016

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