MEDICARE: MRS. JULMARIE VARGAS OT

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	225X00000X	Occupational Therapist	1101	PR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1101	OTHER	PR	COLEGIO TERAPEUTAS OCUPACIONAL DE PUERTO RICO

General Provider Information

NPI Number	:	1659530079
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JULMARIE VARGAS OT

Provider Business Mailing Address
First Line	:	1970 AVE LAS AMERICAS
Second Line	:
City	:	PONCE
State	:	PR
Zip	:	00728-1813
Country	:	US
Telephone Number	:	787-243-1889
Fax Number	:

Provider Business Practice Location Address
First Line	:	1970 AVE LAS AMERICAS
Second Line	:
City	:	PONCE
State	:	PR
Zip	:	00728-1813
Country	:	US
Telephone Number	:	787-243-1889
Fax Number	:

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

Provider Enumeration Date	:	06/02/2008
Last Update Date	:	03/16/2015

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