Provider Demographics
NPI:1700276052
Name:VARGAS, MARIA ELENA (MA)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:ELENA
Last Name:VARGAS
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2325 DONEGAN PL
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32826-4305
Mailing Address - Country:US
Mailing Address - Phone:646-842-0809
Mailing Address - Fax:407-730-4153
Practice Address - Street 1:943 SCANDIA LN
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32825-6735
Practice Address - Country:US
Practice Address - Phone:646-842-0809
Practice Address - Fax:407-730-4153
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-26
Last Update Date:2022-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator