Provider Demographics
NPI:1922282888
Name:VARGAS, KARIMAR (MA, AAODA)
Entity Type:Individual
Prefix:MRS
First Name:KARIMAR
Middle Name:
Last Name:VARGAS
Suffix:
Gender:F
Credentials:MA, AAODA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC-01 BOX 7576
Mailing Address - Street 2:
Mailing Address - City:LAJAS
Mailing Address - State:PR
Mailing Address - Zip Code:00667-9706
Mailing Address - Country:US
Mailing Address - Phone:787-485-8881
Mailing Address - Fax:
Practice Address - Street 1:HC-01 BOX 7576
Practice Address - Street 2:
Practice Address - City:LAJAS
Practice Address - State:PR
Practice Address - Zip Code:00667-9706
Practice Address - Country:US
Practice Address - Phone:787-485-8881
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-27
Last Update Date:2010-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR009101YA0400X
PR0291101YM0800X
PR08-002103TF0200X
PR204842103TA0400X
PR8196172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensic
No172V00000XOther Service ProvidersCommunity Health Worker