Individual provider · NPI-1

Presbitero Aguirre Vargas, DO, P . A.

Assistant, Podiatric · Juana Diaz, PR

NPI number1538717467

StatusActive

Last updated in NPPESSep 4, 2019

Details

NPI: 1538717467
Entity type: Individual (NPI-1)
Name: Presbitero Aguirre Vargas
Credential: DO, P . A.
Sex: Male
Sole proprietor: Yes
Enumeration date: Sep 4, 2019
Last updated: Sep 4, 2019

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
211D00000X	Assistant, Podiatric	383-P.A.	PR	Yes
363AM0700X	Physician Assistant, Medical	383-P.A.	PR
363AS0400X	Physician Assistant, Surgical	383-P.A.	PR

Practice location

Comunidad Aguilita # 158 Calle Correa
Juana Diaz, PR 00795-9844

Phone 787-718-3938

Mailing address

Hc 4 Box 8168
Juana Diaz, PR 00795-9844

Phone 787-718-3938

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