Provider Demographics
NPI:1902669104
Name:VARGAS RAMOS, DARVING
Entity Type:Individual
Prefix:
First Name:DARVING
Middle Name:
Last Name:VARGAS RAMOS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:491 MERRICK RD APT A3
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11572-1401
Mailing Address - Country:US
Mailing Address - Phone:516-492-9698
Mailing Address - Fax:
Practice Address - Street 1:491 MERRICK RD APT A3
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:NY
Practice Address - Zip Code:11572-1401
Practice Address - Country:US
Practice Address - Phone:516-492-9698
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-01
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY353444363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily