Provider Demographics
NPI:1932324068
Name:VARGAS, YANIRA PEREZ (PSICOLOGA)
Entity Type:Individual
Prefix:
First Name:YANIRA
Middle Name:PEREZ
Last Name:VARGAS
Suffix:
Gender:F
Credentials:PSICOLOGA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:257 CALLE PAZ
Mailing Address - Street 2:
Mailing Address - City:AGUADA
Mailing Address - State:PR
Mailing Address - Zip Code:00602-2940
Mailing Address - Country:US
Mailing Address - Phone:787-528-2910
Mailing Address - Fax:
Practice Address - Street 1:257 CALLE PAZ
Practice Address - Street 2:
Practice Address - City:AGUADA
Practice Address - State:PR
Practice Address - Zip Code:00602-2940
Practice Address - Country:US
Practice Address - Phone:787-528-2910
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-16
Last Update Date:2013-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1682103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling