Provider Demographics
NPI:1659530079
Name:VARGAS, JULMARIE (OT)
Entity Type:Individual
Prefix:MRS
First Name:JULMARIE
Middle Name:
Last Name:VARGAS
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1970 AVE LAS AMERICAS
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00728-1813
Mailing Address - Country:US
Mailing Address - Phone:787-243-1889
Mailing Address - Fax:
Practice Address - Street 1:1970 AVE LAS AMERICAS
Practice Address - Street 2:
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00728-1813
Practice Address - Country:US
Practice Address - Phone:787-243-1889
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-02
Last Update Date:2015-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1101225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR1101OtherCOLEGIO TERAPEUTAS OCUPACIONAL DE PUERTO RICO