MEDICARE: DR. SANDIA VARGAS TORRES PSY.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TH0004X	Health Psychologist	3825	PR
2	103TA0400X	Addiction (Substance Use Disorder) Psychologist	3825	PR
3	103TF0000X	Family Psychologist	3825	PR
4	103TC0700X	Clinical Psychologist	3825	PR

General Provider Information

NPI Number	:	1073825212
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SANDIA VARGAS TORRES PSY.D

Provider Business Mailing Address
First Line	:	1 CASA LINDA AVE SUITE 101
Second Line	:	CARR 177 LOS FILTROS KM 2.0
City	:	BAYAMON
State	:	PR
Zip	:	00959
Country	:	US
Telephone Number	:	787-789-1989
Fax Number	:	787-764-7358

Provider Business Practice Location Address
First Line	:	1 CASA LINDA AVE SUITE 101
Second Line	:	CARR 177 LOS FILTROS KM 2.0
City	:	BAYAMON
State	:	PR
Zip	:	00959
Country	:	US
Telephone Number	:	787-789-1989
Fax Number	:	787-764-7358

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/03/2010
Last Update Date	:	05/28/2026

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