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Individual
DR. RAUL JAVIER VARGAS RIVERA
Active
Individual
DR. RAUL JAVIER VARGAS RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ACN1361
FL
208D00000X
General Practice Physician
MED-PHYS-REG-0002152
MT
208D00000X
General Practice Physician
TPME1150
FL
363AM0700X
Medical Physician Assistant
TPPA107
FL
Other
Enumeration date
12/16/2020
Last updated
09/13/2023
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