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NPI Code Detail

MEDICARE: DR. CARLOS AUGUSTO VARGAS MD

MEDICARE: DR. CARLOS AUGUSTO 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
1208D00000XGeneral Practice Physician21508PR

General Provider Information

NPI Number : 1578083721
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CARLOS AUGUSTO VARGAS MD
Provider Business Mailing Address
First Line : URB PACIFICA ENCANTADA
Second Line : PG 100 VIA ARCOIRIS
City : TRUJILLO ALTO
State : PR
Zip : 00976
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1395 CALLE SAN RAFAEL
Second Line :
City : SAN JUAN
State : PR
Zip : 00909-2518
Country : US
Telephone Number : 787-999-7620
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2017
Last Update Date : 02/24/2023

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