Provider Demographics
NPI:1497781629
Name:VARGAS-LOPEZ, MARGARITA T (MD)
Entity Type:Individual
Prefix:DR
First Name:MARGARITA
Middle Name:T
Last Name:VARGAS-LOPEZ
Suffix:
Gender:F
Credentials:MD
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 9749
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726-9749
Mailing Address - Country:US
Mailing Address - Phone:787-744-1170
Mailing Address - Fax:
Practice Address - Street 1:SATURNO NO 55
Practice Address - Street 2:URB. EL VERDE
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-653-3434
Practice Address - Fax:787-744-1170
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2009-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR95692084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR82940OtherSSS
0082940Medicare UPIN
PR82940Medicare ID - Type Unspecified
PR82940OtherSSS