Doctor Name: | MRS. WALESKA VARGAS |
NPI Number: | 1831108794 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 15201 |
Business Practice Address: | Carr. 140 Bo Llanadas Barceloneta, PR - 00617 |
Business Phone Number: | 7879700044 |
Business Fax Number: | 7879700044 |
Mailing Address: | Po Box 2020, Pmb 58 BARCELONETA |
State: | PR |
Postal Code: | 006172020 |
Phone Number: | 7879700044 |
Fax Number: | 7879700044 |
NPI Enumeration Date: | 08/07/2006 |
NPI Last Update Date: | 03/04/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 15201 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |