Individual
JOSE GUSTAVO VARGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10 CALLE CASIA, SAN JUAN, PR 00921-3200
(787) 641-7582
Mailing address
102 CALLE VIOLETA, SAN JUAN, PR 00927-6212
(787) 758-9323
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
024247
PR
390200000X
Student in an Organized Health Care Education/Training Program
16245-I
PR
Other
Enumeration date
02/26/2018
Last updated
02/04/2025
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