Individual provider Active NPI

Vanessa Vega Hernandez, M.D.

  • General Practice Physician
  • Trujillo Alto, PR
National Provider Identifier
1003835638
Registry record updated Nov 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
15750 Issued in PR
Practice address
Plaza San Miguel Ste. 207
Carr 181 Bo. Las Cuevas
Trujillo Alto, PR 00976
Phone
(787) 752-7184
Fax
(787) 752-7184
NPI assigned
Jul 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 15750 PR Primary

Addresses

Primary practice location

Plaza San Miguel Ste. 207
Carr 181 Bo. Las Cuevas
Trujillo Alto, PR 00976

Mailing address

160 Marginal Lago Alto Ste 207
Trujillo Alto, PR 00976-3909
Phone (787) 752-7184

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060302000495 PR Practitioner - General Practice 4688680432 Practice locations: Trujillo Alto, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
15750PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vega Baja Community Health Past Accepting new patients
Vega Alta Community Health Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541548800000",
    "number": "1003835638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 MARGINAL LAGO ALTO STE 207",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009763909",
            "telephone_number": "787-752-7184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PLAZA SAN MIGUEL STE. 207",
            "address_2": "CARR 181 BO. LAS CUEVAS",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "00976",
            "telephone_number": "787-752-7184",
            "fax_number": "787-752-7184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEGA HERNANDEZ",
        "first_name": "VANESSA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2018-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trujillo Alto, PR

Sources for this page

Verify at the official NPI Registry.