Active NPI
Enid M. Vargas, M.T.
- Laboratory Management Specialist/Technologist
- Penuelas, PR
National Provider Identifier
1194876458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Laboratory Management Specialist/Technologist
- License
- 1963
- Practice address
- Bo. Cuevas Carr 385 KM0.5
Suite 100
Penuelas, PR 00624 - Phone
- (787) 836-2669
- Fax
- (787) 836-4554
- NPI assigned
- Jan 15, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Laboratory Management Specialist/Technologist | 246QL0900X | 1963 | PR | Primary |
Addresses
Primary practice location
Bo. Cuevas Carr 385 KM0.5
Suite 100
Penuelas, PR 00624
Mailing address
Urb. Santa Maria- Hacienda Camacho
G6
Guayanilla, PR 00656-1515
Phone (787) 835-2331
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1963 | PR | MD | Nutritionist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centro de Emergencia Y Cuidado | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Laboratorio Clinico Caribbean Diagnostic and Treatment Center
- Clinical Medical Laboratory
- Penuelas, PR
- NPI 1215087481
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1194876458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URB. SANTA MARIA- HACIENDA CAMACHO",
"address_2": "G6",
"city": "GUAYANILLA",
"state": "PR",
"postal_code": "006561515",
"telephone_number": "787-835-2331",
"fax_number": "787-836-4554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BO. CUEVAS CARR 385 KM0.5",
"address_2": "SUITE 100",
"city": "PENUELAS",
"state": "PR",
"postal_code": "00624",
"telephone_number": "787-836-2669",
"fax_number": "787-836-4554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARGAS",
"first_name": "ENID",
"middle_name": "M.",
"name_prefix": "Mrs.",
"credential": "M.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "246QL0900X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Pathology, Laboratory Management",
"state": "PR",
"license": "1963",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Penuelas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.