Organization
CARLOS R VERGNE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS R VERGNE SOTOMAYOR MD (PRESIDENT)
(787) 363-6629
Entity
Organization
Contact information
Practice address
100 CALLE COMERCIO, LOCAL 5, JUANA DIAZ, PR 00795-1679
(787) 260-0480
(787) 813-1010
Mailing address
109 PALACIOS DEL PRADO, JUANA DIAZ, PR 00795-2118
(787) 260-0480
(787) 813-1010
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039737200
—
PR
Enumeration date
03/19/2024
Last updated
01/13/2026
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