Provider Demographics
NPI:1598364598
Name:VARGAS TORRES, MARIEJOSSE (DC)
Entity Type:Individual
Prefix:
First Name:MARIEJOSSE
Middle Name:
Last Name:VARGAS TORRES
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CALLE K BUZON RO
Mailing Address - Street 2:SAN ROMUALDO
Mailing Address - City:HORMIGUEROS
Mailing Address - State:PR
Mailing Address - Zip Code:00660
Mailing Address - Country:US
Mailing Address - Phone:787-974-7902
Mailing Address - Fax:
Practice Address - Street 1:CALLE K BUZON RO
Practice Address - Street 2:SAN ROMUALDO
Practice Address - City:HORMIGUEROS
Practice Address - State:PR
Practice Address - Zip Code:00660
Practice Address - Country:US
Practice Address - Phone:787-974-7902
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-21
Last Update Date:2020-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR00746111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor