Healthcare Provider Details

I. General information

NPI: 1144185570
Provider Name (Legal Business Name): JOANNE IVETTE VARGAS PHARM D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1034 AVE HOSTOS
PONCE PR
00716-1115
US

IV. Provider business mailing address

20 CALLE SAN JORGE
YAUCO PR
00698-2507
US

V. Phone/Fax

Practice location:
  • Phone: 787-843-9393
  • Fax: 787-987-5160
Mailing address:
  • Phone: 787-843-9393
  • Fax: 787-987-5160

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number5343
License Number StatePR
# 2
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number5343
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: