# DR. JOSE GERARDO VERGARA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1194796920
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 2017-02435 | NC | Yes |
| 207R00000X | Internal Medicine Physician | MD19527 | ME | — |
| 207RG0100X | Gastroenterology Physician | A55692 | CA | — |

## Other

- **Enumeration date:** 01/30/2006
- **Last updated:** 04/17/2026
