Individual provider · NPI-1

Dr. Kevin O Alicea Vargas, MD

General Practice · Arecibo, PR

NPI number1083329916
StatusActive
Last updated in NPPESApr 25, 2024

Details

NPI
1083329916
Entity type
Individual (NPI-1)
Name
Dr. Kevin O Alicea Vargas
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
Jan 16, 2023
Certification date
Apr 25, 2024
Last updated
Apr 25, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208D00000X General Practice23780PRYes

Practice location

55 Calle Palma
Arecibo, PR 00612-4526

Phone 787-650-1030

Mailing address

Po Box 418
Camuy, PR 00627-0418

Phone 939-276-2966

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