Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Sergio Jose Tejada Vargas, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1972205862

Dr. Sergio Jose Tejada Vargas, MD is a Student in an Organized Health Care Education/Training Program in Miami, Florida. Practices as a sole proprietor and works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2023
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1611 NW 12th Ave Fl 33136
Miami, FL 33136-1005
Phone: (754) 610-6595
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 301 East Main Street, Bay Shore, NY 11706-8458 — (631) 894-5948

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 40099 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1972205862
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 21, 2023
Last updated in NPPESMarch 24, 2026
Certification dateMarch 24, 2026

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