| Doctor Name: | MRS. CARMEN LIZZETTE VARGAS |
| NPI Number: | 1033190848 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 9237 |
| Business Practice Address: | #40 Calle Luis Munoz Rivera Boqueron, PR - 006220309 |
| Business Phone Number: | 7872542021 |
| Business Fax Number: | 7872546180 |
| Mailing Address: | Po Box 309, BOQUERON |
| State: | PR |
| Postal Code: | 006220309 |
| Phone Number: | 7872544598 |
| Fax Number: | 7872544598 |
| NPI Enumeration Date: | 11/09/2005 |
| NPI Last Update Date: | 09/07/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 9237 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |