Provider Demographics
NPI:1548605942
Name:VARGAS, MARIA L (RPH)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:L
Last Name:VARGAS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PMB 319 RAFAEL CORDERO AVE #200
Mailing Address - Street 2:SUITE 140
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725-0725
Mailing Address - Country:US
Mailing Address - Phone:787-988-9101
Mailing Address - Fax:
Practice Address - Street 1:PMB 319 RAFAEL CORDERO AVE #200
Practice Address - Street 2:SUITE 140
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-0725
Practice Address - Country:US
Practice Address - Phone:787-988-9101
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-30
Last Update Date:2013-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4325183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist