Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | 10498 | PR |
NPI | 1326000829 |
---|---|
Provider Name | Dr. Oscar Alberto Vargas Gonzalez |
First Address | Mayaguez, PR 00680 |
Second Address | Mayaguez, PR 00680-5049 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2006 |
Last Update Date | 07/03/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G46681 | (02) | PR |