Provider Demographics
NPI:1194242727
Name:VARGAS-ALVAREZ, VICTOR JAYSON (PHARMD)
Entity type:Individual
Prefix:DR
First Name:VICTOR
Middle Name:JAYSON
Last Name:VARGAS-ALVAREZ
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CARDINAL HEALTH P.R. 120 - INT'L DISTRIBUTION CENTER
Mailing Address - Street 2:CARR. 165 KM. 2.4 BUILDING 10 LOCAL A
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00965
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:CARDINAL HEALTH PR 120 - INT'L DISTRIBUTION CENTER
Practice Address - Street 2:CARR. 165 KM. 2.4 BUILDING 10 LOCAL A
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00965
Practice Address - Country:US
Practice Address - Phone:787-625-4697
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-24
Last Update Date:2024-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6285183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist