Individual
WILFREDO I VERGARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
245 GOVERNORS DR SE, HUNTSVILLE, AL 35801-2700
(256) 265-7981
Mailing address
PO BOX 2705, HUNTSVILLE, AL 35804-2705
(256) 801-6047
(256) 801-6218
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
01051701A
IN
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
27740
AL
2080P0203X
Pediatric Critical Care Medicine Physician
ME140266
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009914158
—
AL
Enumeration date
08/24/2005
Last updated
10/02/2025
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