| Doctor Name: | MRS. ENID M. VARGAS |
| NPI Number: | 1194876458 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.T. |
| License Number: | 1963 |
| Business Practice Address: | Bo. Cuevas Carr 385 Km0.5 Suite 100 Penuelas, PR - 00624 |
| Business Phone Number: | 7878362669 |
| Business Fax Number: | 7878364554 |
| Mailing Address: | Urb. Santa Maria- Hacienda Camacho, G6 GUAYANILLA |
| State: | PR |
| Postal Code: | 006561515 |
| Phone Number: | 7878352331 |
| Fax Number: | 7878364554 |
| NPI Enumeration Date: | 01/15/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 246QL0900X |
| License Number: | 1963 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Spec/Tech, Pathology |
| Taxonomy Specialization: | Laboratory Management |
| Taxonomy Definition: | |