Provider Demographics
NPI:1497358048
Name:VARGAS GINEL, XAHIRA
Entity Type:Individual
Prefix:MISS
First Name:XAHIRA
Middle Name:
Last Name:VARGAS GINEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:MIRADOR DE BAIROA
Mailing Address - Street 2:CALLE 19 2Q 19
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00727
Mailing Address - Country:US
Mailing Address - Phone:787-405-7599
Mailing Address - Fax:
Practice Address - Street 1:MIRADOR DE BAIROA
Practice Address - Street 2:CALLE 19 2Q 19
Practice Address - City:CAGUAS PUERTO RICO 00727
Practice Address - State:PR
Practice Address - Zip Code:00727
Practice Address - Country:US
Practice Address - Phone:787-405-7599
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-17
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR36745163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice