Individual provider Active NPI

Daisy E Costas Vargas, PHL. MS

  • Speech-Language Pathologist
  • Ponce, PR
National Provider Identifier
1902238835
Registry record updated Sep 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1037 Issued in PR
Practice address
Calle 4 Urb. El Madrigal
F-7
Ponce, PR 00730-1417
Phone
(787) 598-0323
NPI assigned
Aug 2, 2013
Last updated
Sep 24, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 1037 PR Primary

Addresses

Primary practice location

Calle 4 Urb. El Madrigal
F-7
Ponce, PR 00730-1417

Mailing address

Calle 4 Urb. El Madrigal
F-7
Ponce, PR 00730-0000
Phone (787) 598-0323

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1037PRMDPhysical Rehabilitation Occupational Therapist

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": "1375401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537747200000",
    "number": "1902238835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE 4 URB. EL MADRIGAL",
            "address_2": "F-7",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007300000",
            "telephone_number": "787-598-0323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE 4 URB. EL MADRIGAL",
            "address_2": "F-7",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007301417",
            "telephone_number": "787-598-0323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSTAS VARGAS",
        "first_name": "DAISY",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "PHL. MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-02",
        "last_updated": "2018-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "1037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2018; 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.