Individual
NICOLE NAOMY VARGAS ORTIZ SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
759 AVELINO VICENTE, SANTURCE, SAN JUAN, PR 00909
(787) 303-9662
Mailing address
U417 CALLE NICARAGUA, URB. ROLLING HILLS, SAN JUAN, PR 00987
(939) 218-1356
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1058
PR
224Z00000X
Occupational Therapy Assistant
917
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8002703478400
TRIPLE-S
PR
Enumeration date
08/06/2014
Last updated
08/06/2014
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