Active NPI
Rene Alejandro Vega, DDS
- Dentist
- Miami, FL
National Provider Identifier
1114620176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN29041
- Practice address
- 12841 SW 147TH Terrace Rd
Miami, FL 33186-6328 - Phone
- (786) 585-0271
- NPI assigned
- Mar 27, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN29041 | FL | Primary |
Addresses
Primary practice location
12841 SW 147TH Terrace Rd
Miami, FL 33186-6328
Mailing address
12841 SW 147TH Terrace Rd
Miami, FL 33186-6328
Phone (786) 585-0271
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN29041 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718841600000",
"number": "1114620176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12841 SW 147TH TERRACE RD",
"city": "MIAMI",
"state": "FL",
"postal_code": "331866328",
"telephone_number": "786-585-0271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12841 SW 147TH TERRACE RD",
"city": "MIAMI",
"state": "FL",
"postal_code": "331866328",
"telephone_number": "786-585-0271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VEGA",
"first_name": "RENE",
"middle_name": "ALEJANDRO",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-03-27",
"last_updated": "2024-06-20",
"certification_date": "2024-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN29041",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.