Provider Demographics
NPI:1730688706
Name:VARGAS RODRIGUEZ, JANICE MARIE (MD)
Entity type:Individual
Prefix:
First Name:JANICE
Middle Name:MARIE
Last Name:VARGAS RODRIGUEZ
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 3190
Mailing Address - Street 2:
Mailing Address - City:VEGA ALTA
Mailing Address - State:PR
Mailing Address - Zip Code:00692-3190
Mailing Address - Country:US
Mailing Address - Phone:787-224-9188
Mailing Address - Fax:
Practice Address - Street 1:100 CARR 165 CENTRO INTERNACIONAL DE MERCADEO
Practice Address - Street 2:SUITE 311
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00968-8050
Practice Address - Country:US
Practice Address - Phone:787-224-9188
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-06
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR227382084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology