Basic Information
Provider Information
NPI: 1497781629
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: VARGAS-LOPEZ
FirstName: MARGARITA
MiddleName: T
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 9749
Address2:  
City: CAGUAS
State: PR
PostalCode: 007269749
CountryCode: US
TelephoneNumber: 7877441170
FaxNumber:  
Practice Location
Address1: SATURNO NO 55
Address2: URB. EL VERDE
City: CAGUAS
State: PR
PostalCode: 00725
CountryCode: US
TelephoneNumber: 7876533434
FaxNumber: 7877441170
Other Information
ProviderEnumerationDate: 06/22/2006
LastUpdateDate: 07/14/2009
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084P0800X9569PRY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry

ID Information
IDTypeStateIssuerDescription
8294001PRSSSOTHER


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