Basic Information
Provider Information
NPI: 1548276561
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: VARGAS-CESAR
FirstName: ISAAC
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2488 N UNIVERSITY DR
Address2:  
City: PEMBROKE PINES
State: FL
PostalCode: 330243624
CountryCode: US
TelephoneNumber: 9549839191
FaxNumber: 9549831152
Practice Location
Address1: 2488 N UNIVERSITY DR
Address2:  
City: PEMBROKE PINES
State: FL
PostalCode: 330243624
CountryCode: US
TelephoneNumber: 9549839191
FaxNumber: 9549831152
Other Information
ProviderEnumerationDate: 07/31/2006
LastUpdateDate: 03/01/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X15979PRY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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