Provider Demographics
NPI:1811282676
Name:PEREZ VARGAS, ARELYS MARGARITA
Entity type:Individual
Prefix:
First Name:ARELYS
Middle Name:MARGARITA
Last Name:PEREZ VARGAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 2 BOX 12328
Mailing Address - Street 2:
Mailing Address - City:MOCA
Mailing Address - State:PR
Mailing Address - Zip Code:00676-8377
Mailing Address - Country:US
Mailing Address - Phone:787-649-9903
Mailing Address - Fax:
Practice Address - Street 1:CARR 2 KM 129.3
Practice Address - Street 2:BO VICTORIA
Practice Address - City:AGUADILLA
Practice Address - State:PR
Practice Address - Zip Code:00604-0479
Practice Address - Country:US
Practice Address - Phone:787-882-0303
Practice Address - Fax:787-551-7066
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-09
Last Update Date:2017-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1205225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist