MEDICARE: MARIA E. VARGAS-SANTOS M.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	146D00000X	Personal Emergency Response Attendant	15054	PR
2	208D00000X	General Practice Physician	15054	PR

General Provider Information

NPI Number	:	1255380895
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA E. VARGAS-SANTOS M.D.

Provider Business Mailing Address
First Line	:	HC 2 BOX 11347
Second Line	:
City	:	SAN GERMAN
State	:	PR
Zip	:	00683-9608
Country	:	US
Telephone Number	:	787-264-2178
Fax Number	:

Provider Business Practice Location Address
First Line	:	HC 2 BOX 11347
Second Line	:
City	:	SAN GERMAN
State	:	PR
Zip	:	00683-9608
Country	:	US
Telephone Number	:	787-264-2178
Fax Number	:

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

Provider Enumeration Date	:	05/10/2006
Last Update Date	:	08/15/2017

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