Provider Demographics
NPI:1184049843
Name:LUZ N RAMOS VARGAS
Entity type:Organization
Organization Name:LUZ N RAMOS VARGAS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGY
Authorized Official - Prefix:
Authorized Official - First Name:LUZ
Authorized Official - Middle Name:N
Authorized Official - Last Name:RAMOS VARGAS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:787-688-9362
Mailing Address - Street 1:RR 1 BOX 12915
Mailing Address - Street 2:
Mailing Address - City:TOA ALTA
Mailing Address - State:PR
Mailing Address - Zip Code:00953-8639
Mailing Address - Country:US
Mailing Address - Phone:787-688-9362
Mailing Address - Fax:
Practice Address - Street 1:10-5 AVE NORTH MAIN
Practice Address - Street 2:SIERRA BAYAMON
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961-4325
Practice Address - Country:US
Practice Address - Phone:787-688-9362
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-04
Last Update Date:2014-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5539103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty