Provider Demographics
NPI:1659163822
Name:CABAN VARGAS, KARILIS (MD)
Entity type:Individual
Prefix:DR
First Name:KARILIS
Middle Name:
Last Name:CABAN 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:HC 59 BOX 5691
Mailing Address - Street 2:
Mailing Address - City:AGUADA
Mailing Address - State:PR
Mailing Address - Zip Code:00602-9600
Mailing Address - Country:US
Mailing Address - Phone:787-329-5190
Mailing Address - Fax:787-329-5190
Practice Address - Street 1:HC 59 BOX 5691
Practice Address - Street 2:
Practice Address - City:AGUADA
Practice Address - State:PR
Practice Address - Zip Code:00602-9600
Practice Address - Country:US
Practice Address - Phone:787-329-5190
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-21
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2534363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical