Active NPI
Nattali Rodriguez Vega, DMD
- Pediatric Dentistry
- Manati, PR
National Provider Identifier
1124660113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 3362
- Practice address
- Manati Medical Plaza
Suite 208
Manati, PR 00674 - Phone
- (787) 884-6991
- NPI assigned
- Oct 11, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 3362 | PR | |
| Pediatric Dentistry | 1223P0221X | 3362 | PR | Primary |
Addresses
Primary practice location
Manati Medical Plaza
Suite 208
Manati, PR 00674
Mailing address
491 Camino del Yunque
Urb Sabanera Dorado
Dorado, PR 00646
Phone (787) 365-5226
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 |
|---|---|---|---|
| 3362 | PR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670544000000",
"number": "1124660113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "491 CAMINO DEL YUNQUE",
"address_2": "URB SABANERA DORADO",
"city": "DORADO",
"state": "PR",
"postal_code": "00646",
"telephone_number": "787-365-5226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MANATI MEDICAL PLAZA",
"address_2": "SUITE 208",
"city": "MANATI",
"state": "PR",
"postal_code": "00674",
"telephone_number": "787-884-6991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ VEGA",
"first_name": "NATTALI",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-11",
"last_updated": "2022-12-09",
"certification_date": "2022-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PR",
"license": "3362",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "PR",
"license": "3362",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manati, PR
- Mayra I Rodriguez Martinez, M.D.
- Heysha M. Rodriguez Ortiz Sr., DOCTORADO
- Celimar Rodriguez Rodriguez, MD
- Carlos J Rodriguez Torres, O.D.
- Aixa E Rodriguez Vazquez, M.D.
- Javier J Rodriguez-Becerra, MD
- Jaime Rodriguez-Dones, M.D.
- Sony J Rodriguez-Hernandez
- Rosa Amalia Rodriguez-Rivera, RPH
- Abelardo Rodriguez-Vazquez, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.