Provider Demographics
NPI:1588890016
Name:VARGAS CORDERO, AMARILYS (OTL)
Entity type:Individual
Prefix:MRS
First Name:AMARILYS
Middle Name:
Last Name:VARGAS CORDERO
Suffix:
Gender:F
Credentials:OTL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB. LA MONSERRATE
Mailing Address - Street 2:418 CALLE GUADALUPE
Mailing Address - City:MOCA
Mailing Address - State:P.R.
Mailing Address - Zip Code:00676
Mailing Address - Country:UM
Mailing Address - Phone:787-410-3735
Mailing Address - Fax:
Practice Address - Street 1:EDIFICIO IRAIDA CARR. 111 KM 6.3 BO. CUCHILLAS
Practice Address - Street 2:
Practice Address - City:MOCA
Practice Address - State:P.R.
Practice Address - Zip Code:00676
Practice Address - Country:UM
Practice Address - Phone:787-608-4996
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-10
Last Update Date:2023-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist