Provider Demographics
NPI:1962220707
Name:FELICIANO VARGAS, RUTH NAELIS (MD)
Entity type:Individual
Prefix:MISS
First Name:RUTH
Middle Name:NAELIS
Last Name:FELICIANO VARGAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 141475
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00614-1475
Mailing Address - Country:US
Mailing Address - Phone:939-264-7683
Mailing Address - Fax:
Practice Address - Street 1:CARR. 493 INT KM 1.3 CALLE LOS RODRIGUEZ
Practice Address - Street 2:SECTOR ORATORIO BO. CARRIZALES
Practice Address - City:HATILLO
Practice Address - State:PR
Practice Address - Zip Code:00659-7331
Practice Address - Country:US
Practice Address - Phone:787-372-7777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-01
Last Update Date:2024-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7694103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling