Provider Demographics
NPI:1871386052
Name:VARGAS GONZALEZ, DANIELA CRISTINA (MS)
Entity type:Individual
Prefix:
First Name:DANIELA
Middle Name:CRISTINA
Last Name:VARGAS GONZALEZ
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 CALLE PABLO GUZMAN
Mailing Address - Street 2:
Mailing Address - City:SAN SEBASTIAN
Mailing Address - State:PR
Mailing Address - Zip Code:00685-1748
Mailing Address - Country:US
Mailing Address - Phone:939-464-8924
Mailing Address - Fax:
Practice Address - Street 1:67 CALLE PAVIA FERNANDEZ
Practice Address - Street 2:
Practice Address - City:SAN SEBASTIAN
Practice Address - State:PR
Practice Address - Zip Code:00685-2207
Practice Address - Country:US
Practice Address - Phone:787-517-2024
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-28
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8309103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool