Jennifer Marie De Jesus Vargas, PSY.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3561 Issued in PR

Practice address

Bo. Asomante Carr. 115 KM. 25.8
Aguada, PR 00602

Phone

(787) 567-0079

NPI assigned

Apr 19, 2010

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1271635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575417600000",
    "number": "1023334885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 725",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006020725",
            "telephone_number": "787-567-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BO. ASOMANTE CARR. 115 KM. 25.8",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "00602",
            "telephone_number": "787-567-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE JESUS VARGAS",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-19",
        "last_updated": "2019-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "3561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriel Luis Cruz Martinez, D.C.
• Felix Cruz Vera, MD
• Sonia E Cruz, MD
• Elienith Cubero
• D&W LLC
• Ernesto Del Valle, DMD
• Deltal Optical Network
• Marco A. Delvalle, DDS
• Filiberto Desa Cintron, DDS
• Marian Desarden Vializ, MSW

• Clinical Psychologist in Aguada, PR
• Providers in Aguada, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.