Gladiann Damil Vargas Hernandez

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

15208 Issued in PR

Practice address

Calle Julio Cintron 202
Edificio Guayacan Suite 219
Aibonito, PR 00705

Phone

(787) 598-6469

NPI assigned

Jan 11, 2018

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

State licenses

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

{
    "created_epoch": "1515628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1407364599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 1 BOX 4321",
            "city": "AIBONITO",
            "state": "PR",
            "postal_code": "007059736",
            "telephone_number": "787-598-6469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE JULIO CINTRON 202",
            "address_2": "EDIFICIO GUAYACAN SUITE 219",
            "city": "AIBONITO",
            "state": "PR",
            "postal_code": "00705",
            "telephone_number": "787-598-6469"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44 calle pablo ortiz",
            "address_2": "Desvio salecianos",
            "address_purpose": "LOCATION",
            "city": "Aibonito",
            "state": "PR",
            "postal_code": "007050070",
            "country_code": "US",
            "telephone_number": "787-598-6469",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VARGAS HERNANDEZ",
        "first_name": "GLADIANN",
        "middle_name": "DAMIL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-11",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "15208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luz E Torres, LCDA
• Esteban Tresgallo Pares
• Nestor Miguel Unger, M.D.
• Tania M Valentin-Aponte, DMD
• Luis R Valentin, M.D.
• Carlos Tulio Vargas, MD
• Glorimar Vargas, CPL
• Veronica Ramona Vargas
• Ixia G Vazquez Vazquez, PTA
• Lilliam Enid Vazquez

• Clinical Social Worker in Aibonito, PR
• Providers in Aibonito, PR by specialty
• Clinical Social Worker in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; 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.