Provider Demographics
NPI:1386037323
Name:YARIMAR VARGAS
Entity Type:Organization
Organization Name:YARIMAR VARGAS
Other - Org Name:YARIMAR VARGAS CITAS MEDICAS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENTA
Authorized Official - Prefix:MRS
Authorized Official - First Name:YARIMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:VARGAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-449-7803
Mailing Address - Street 1:3 CALLE CHIPRE
Mailing Address - Street 2:EXTENSION SAN LUIS
Mailing Address - City:AIBONITO
Mailing Address - State:PR
Mailing Address - Zip Code:00705-3146
Mailing Address - Country:US
Mailing Address - Phone:787-449-7803
Mailing Address - Fax:
Practice Address - Street 1:3 CALLE CHIPRE
Practice Address - Street 2:EXTENSION SAN LUIS
Practice Address - City:AIBONITO
Practice Address - State:PR
Practice Address - Zip Code:00705-3146
Practice Address - Country:US
Practice Address - Phone:787-449-7803
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-16
Last Update Date:2015-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PRPCVTE 4443343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRPCVTE 4443OtherCSP