1285687830 NPI number — OSCAR VARGAS

Table of content: (NPI 1285687830)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1285687830 NPI number — OSCAR VARGAS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
OSCAR VARGAS
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
VARGAS AMBULANCE SERVICE
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1285687830
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 285
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
AGUIRRE
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00704-0285
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-312-8828
Provider Business Mailing Address Fax Number:
787-853-0278

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
150A CALLE MARLIN
Provider Second Line Business Practice Location Address:
MONTESORIA II
Provider Business Practice Location Address City Name:
AGUIRRE
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00704-7005
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-312-8828
Provider Business Practice Location Address Fax Number:
787-853-0278
Provider Enumeration Date:
05/17/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
TORRES
Authorized Official First Name:
SHARON
Authorized Official Middle Name:
IVETTE
Authorized Official Title or Position:
ACCOUNTANT
Authorized Official Telephone Number:
787-312-8828

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X , with the licence number:  TCAMB-292 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)