Individual provider Active NPI

Nina M. Vega

  • Psychiatry Physician
  • Ponce, PR
National Provider Identifier
1053560862
Registry record updated Oct 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
18207 Issued in PR
Practice address
472 Ave Tito Castro
Ste 401
Ponce, PR 00716-4705
Phone
(787) 848-7646
Fax
(787) 290-7722
NPI assigned
Sep 17, 2008
Last updated
Oct 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 18207 PR Primary
Child & Adolescent Psychiatry Physician 2084P0804X 18207 PR

Addresses

Primary practice location

472 Ave Tito Castro
Ste 401
Ponce, PR 00716-4705

Mailing address

472 Ave Tito Castro
Edificio Marvesa Suite 401
Ponce, PR 00716-4705
Phone (787) 848-7646

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
I20131115001541 PR Practitioner - Psychiatry 5799911954 Reassigns benefits to 1 organization
Practice locations: Ponce, PR

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Ponce School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

472 Ave Tito Castro
Suite 401
Ponce, PR 00716-4705
Phone (787) 848-7646

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18207PRMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inspira Behavioral Care Corp. Current Accepting new patients
Inspira Behavioral Care Corp CurrentSince Mar 1, 2020 Accepting new patients
Inspira Behavioral Care Corp. CurrentSince Mar 1, 2020 Accepting new patients
Inspira Mental Health Management PastSince Mar 1, 2020 Accepting new patients
Inspira Behavioral Care Corp. Past Accepting new patients

Locations

55 Calle Comercio
Yauco, PR 00698
Phone (787) 267-1810

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1221609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791849600000",
    "number": "1053560862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "472 AVE TITO CASTRO",
            "address_2": "EDIFICIO MARVESA SUITE 401",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007164705",
            "telephone_number": "787-848-7646",
            "fax_number": "787-290-7722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "472 AVE TITO CASTRO",
            "address_2": "STE 401",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007164705",
            "telephone_number": "787-848-7646",
            "fax_number": "787-290-7722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEGA",
        "first_name": "NINA",
        "middle_name": "M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-17",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PR",
            "license": "18207",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "PR",
            "license": "18207",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.