William A. Vega-Vivas, M.D

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

11231 Issued in PR

Practice address

Carr.111 KM.0.2 Bo. Victoria
Aguadilla, PR 00603-9602

Phone

(787) 882-5534

Fax

(787) 658-7133

NPI assigned

Dec 6, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. William Vega Vega- Vivas Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1073597647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1149",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006811149",
            "telephone_number": "787-882-5534",
            "fax_number": "787-658-7133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR.111 KM.0.2 BO. VICTORIA",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006039602",
            "telephone_number": "787-882-5534",
            "fax_number": "787-658-7133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEGA-VIVAS",
        "first_name": "WILLIAM",
        "middle_name": "A.",
        "name_prefix": "Mr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-06",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "11231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WILLIAM",
            "last_name": "VEGA- VIVAS",
            "middle_name": "VEGA",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Victor J Vazquez-Rodriguez, M.D.
• Jeramind Scott Vazquez
• Oscar Alejandro Vazquez Jr.
• Reinaldo Vazquez, M. D.
• Xavier Anthony Vega Droz, MD
• Angel Luis Vega
• Sobeida Vega, EMT
• Jessica Velazquez Hernandez, MD
• Luis Javier Velazquez, MSW
• Wanda Mabel Velez Diaz, SLP

• General Practice Physician in Aguadilla, PR
• Providers in Aguadilla, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.