Mairim Vega, PSYD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

005614 Issued in PR

Practice address

2431 Blvd Luis a Ferre
Edificio a. Porrata Pila Suite 205
Ponce, PR 00717-2113

Phone

(787) 848-5050

NPI assigned

Sep 13, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1473724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473724800000",
    "number": "1083162648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2431 BLVD LUIS A FERRE",
            "address_2": "EDIFICIO A. PORRATA PILA SUITE 205",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007172113",
            "telephone_number": "787-848-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2431 BLVD LUIS A FERRE",
            "address_2": "EDIFICIO A. PORRATA PILA SUITE 205",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007172113",
            "telephone_number": "787-848-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEGA",
        "first_name": "MAIRIM",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-13",
        "last_updated": "2016-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "PR",
            "license": "005614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glorimar Vega, LCSW
• Helen Marie Vega, MD
• Isaelisse M. Vega, MSW
• Josephine Soto Vega, R.D.
• Lismel Stephanie Vega
• Maryorie Vega, MSW
• Nina M. Vega
• Stephanie Vega, PSYD
• Nahomie Ivette Veguilla Rivera, MD
• Alexandra Cristina Vela

• Clinical Neuropsychologist in Ponce, PR
• Providers in Ponce, PR by specialty
• Clinical Neuropsychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.