Provider Demographics
NPI:1700035482
Name:VARGAS-TORRES, MILAGROS
Entity Type:Individual
Prefix:MS
First Name:MILAGROS
Middle Name:
Last Name:VARGAS-TORRES
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:PO BOX 8608
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33674-8608
Mailing Address - Country:US
Mailing Address - Phone:813-933-0317
Mailing Address - Fax:
Practice Address - Street 1:6506 N FLORIDA AVE
Practice Address - Street 2:STE 101
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33604-6060
Practice Address - Country:US
Practice Address - Phone:813-964-6872
Practice Address - Fax:813-964-6874
Is Sole Proprietor?:No
Enumeration Date:2008-09-17
Last Update Date:2008-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA 10950247200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other