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Jennifer Marie De Jesus Vargas

Psychologist

Behavioral Health & Social Service Providers

Bo. Asomante Carr. 115 Km. 25.8, Aguada, PR 00602

PECOS Enrollment

This provider is enrolled in PECOS as JENNIFER DE JESUS VARGAS.

Based on the most recent information from CMS, provider Jennifer Marie De Jesus Vargas is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1023334885
Provider Type
Individual
Full Name
De Jesus Vargas, Jennifer Marie
Title
Dr.
Credential
PSY.D

Gender
Female
Sole Proprietor
Yes
Enumeration Date
4/19/2010
Last Updated
12/4/2019

Contact Information

Practice Location

Bo. Asomante Carr. 115 Km. 25.8, Aguada, PR 00602

(787) 567-0079

Unlisted Fax

Mailing Location

PO Box 725, Aguada, PR 00602-0725

(787) 567-0079

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 103TC0700X Primary	Description Psychologist Behavioral Health & Social Service Providers	License 3561 Puerto Rico

Jennifer Marie De Jesus Vargas

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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