Most Relevant Information
Provider Data
| NPI Number: | 1003308818 |
| Provider Name: | MELANIE VARGAS SANTIAGO LICENSED |
| Entity Type: | Individual |
| Taxonomy Code: | 103TC1900X |
| Specialty: | Psychologist |
| License Number: | 6004 |
Most Important Dates
| Enumeration Date: | 06/06/2018 |
| Last Updated: | 06/24/2024 |
Provider Practice Location
CARR. 181 KM 2.1
TRUJILLO ALTO
PR
00976
Practice Location Phone/Fax
| Phone: | 7879610320 |
| Fax: |
Provider Mailing Location
PO BOX 361626
SAN JUAN
PR
009361626
Provider Mailing Phone/Fax
| Phone: | 9396428317 |
| Fax: |