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Contact Information

JAKE VARGAS
MSC 09 50301 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM87131-0001
 Phone: 505-272-2223
 Fax: 505-272-4639
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for JAKE VARGAS · (Male)

NPI Number 1689109068
Status Active
Credentials
Entity Individual
Enumeration date 04/24/2017
Last updated 05/07/2026 - About a month ago
Sole proprietor 1 Yes
Identifiers
  • NM License # MD20221220
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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