Individual
WILFREDO ANTONIO VELASCO VARGAS
Active
Individual
WILFREDO ANTONIO VELASCO VARGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
099694
PR
163W00000X
Registered Nurse
246957
TN
163W00000X
Registered Nurse
95042984
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
NA95002659
CA
Other
Enumeration date
09/25/2020
Last updated
08/07/2026
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