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Individual

DR. FREDICKSON MANUEL VARGAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
SAN GERMAN MEDICAL PLAZA CARR #2 KM 174, SAN GERMAN, PR 00683
(787) 892-0585
(787) 892-0588
Mailing address
HC 3 BOX 25708, SAN GERMAN, PR 00683-9339
(787) 892-0585
(787) 892-0588

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
13607
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13607
STATE LICENCE
PR
Enumeration date
03/14/2006
Last updated
10/05/2012
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