Healthcare Provider Details

I. General information

NPI: 1871058693
Provider Name (Legal Business Name): MISS ADRIANA LYNN VARGAS FIGUEROA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/06/2019
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

165 MENDEZ VIGO EAST
MAYAGUEZ PR
00680
US

IV. Provider business mailing address

165 MENDEZ VIGO E
MAYAGUEZ PR
00680-5049
US

V. Phone/Fax

Practice location:
  • Phone: 787-590-1372
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number23455
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: