Provider Demographics
NPI:1033386602
Name:VARGAS, BERKIS (MT)
Entity Type:Individual
Prefix:
First Name:BERKIS
Middle Name:
Last Name:VARGAS
Suffix:
Gender:F
Credentials:MT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7176
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00916-7176
Mailing Address - Country:US
Mailing Address - Phone:787-640-9745
Mailing Address - Fax:
Practice Address - Street 1:375 CALLE DEGETAU
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00915-2117
Practice Address - Country:US
Practice Address - Phone:787-640-9745
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-13
Last Update Date:2008-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other