Provider Demographics
NPI:1871057539
Name:CAJIGAS-VARGAS, ISABEL (PHD)
Entity type:Individual
Prefix:MISS
First Name:ISABEL
Middle Name:
Last Name:CAJIGAS-VARGAS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:APTO 8 RIVER FLATS APARTMENTS
Mailing Address - Street 2:1814 CALLE ARTEMIS
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00716-2955
Mailing Address - Country:US
Mailing Address - Phone:787-624-4477
Mailing Address - Fax:
Practice Address - Street 1:120 CALLE SOL
Practice Address - Street 2:
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00730-4881
Practice Address - Country:US
Practice Address - Phone:787-284-2900
Practice Address - Fax:787-812-1224
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-28
Last Update Date:2020-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6185103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical