Johanna Liz Vargas Vega

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6153 Issued in PR

Practice address

Ave. Felisa Rincon Las Vistas Shoppping Village
Suite 1
San Juan, PR 00926

Phone

(787) 452-0619

NPI assigned

Oct 16, 2019

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1571184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571184000000",
    "number": "1902448418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 CALLE FALCON",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009269535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. FELISA RINCON LAS VISTAS SHOPPPING VILLAGE",
            "address_2": "SUITE 1",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-452-0619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGAS VEGA",
        "first_name": "JOHANNA",
        "middle_name": "LIZ",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-16",
        "last_updated": "2019-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "6153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valeria Vargas Ramos, MT STUDENT
• Karla M. Vargas Reyes, MD
• Jessica Vargas Sanchez
• Carlos Enrique Vargas Santiago
• Rolando Vargas Santiago
• Jorge Alberto Vargas Venero
• Ariana Vargas-Arriaga, M.S.-AUDIOLOGY
• Sandra C Vargas-Ortiz, R.PH.
• Pedro Enrique Vargas-Otero, M.D.
• Lymari Vargas-Rivera, MD

• Clinical Psychologist in San Juan, PR
• Providers in San Juan, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; 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.