Healthcare Provider Details

I. General information

NPI: 1558270983
Provider Name (Legal Business Name): MISS ALONDRA MARIE VARGAS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR. 107 KM 3.1 BO. BORINQUEN 2DO PISO
AGUADILLA PR
00604
US

IV. Provider business mailing address

HC 56 BOX 5134
AGUADA PR
00602-8693
US

V. Phone/Fax

Practice location:
  • Phone: 787-890-3355
  • Fax:
Mailing address:
  • Phone: 787-485-4982
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number5144
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: