Individual provider Active NPI

Enid M. Vargas, M.T.

  • Laboratory Management Specialist/Technologist
  • Penuelas, PR
National Provider Identifier
1194876458
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Laboratory Management Specialist/TechnologistTaxonomy code 246QL0900X
License
1963 Issued in PR
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, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
1963PRMDNutritionist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.