Provider Demographics
NPI:1700601580
Name:VARGAS CARACAS, SUSANA DEL ROCIO (DOULA)
Entity type:Individual
Prefix:MRS
First Name:SUSANA
Middle Name:DEL ROCIO
Last Name:VARGAS CARACAS
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:MRS
Other - First Name:SUSY
Other - Middle Name:
Other - Last Name:CARACAS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DOULA
Mailing Address - Street 1:133 CORNELL
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92612
Mailing Address - Country:US
Mailing Address - Phone:714-829-5563
Mailing Address - Fax:
Practice Address - Street 1:133 CORNELL
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92612
Practice Address - Country:US
Practice Address - Phone:714-829-5563
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-18
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula