Healthcare Provider Details

I. General information

NPI: 1700078482
Provider Name (Legal Business Name): MAIRYN VARGAS MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2007
Last Update Date: 12/28/2025
Certification Date: 12/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HC 5 BOX 7073
GUAYNABO PR
00971-9579
US

IV. Provider business mailing address

HC 5 BOX 7073
GUAYNABO PR
00971-9579
US

V. Phone/Fax

Practice location:
  • Phone: 787-602-9797
  • Fax:
Mailing address:
  • Phone: 787-602-9797
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number9331
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: