Marlene E Aviles Vargas, MD
Individual provider Active NPI General Practice Physician · Moca, PR
NPI 1477101236 · NPPES record last updated Aug 26, 2019
Key facts
- NPI
- 1477101236
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 21554 (PR)
- Practice address
- 79 Calle Don Chemary
Moca, PR 00676-4120 - Phone
- (787) 384-5938
- NPI assigned
- Aug 26, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21554 | PR | MD | General Practice Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 21554 | PR | Yes |
Addresses
Primary practice location
79 Calle Don Chemary
Moca, PR 00676-4120
Mailing address
79 Calle Don Chemary
Moca, PR 00676-4120
Phone (787) 384-5938
Other providers in Moca, PR
- Guillermo A. Alvarez
- Angel Gonzalez Perez
- Aoa Ophthalmic Group LLC
- Aps Clinics of Puerto Rico, Inc.
- Grace Arocho
- Doris Arlene Aviles
- Anzary Ayala
- Gustavo Luis Aymat Rodriguez
- Demaris Angelique Babilonia
- Iris M. Babilonia
All providers in Moca, PR · General Practice Physician in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.