Active NPI
Leslie Yomarie Vega, MD
- General Practice Physician
- San Juan, PR
National Provider Identifier
1154068310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 23422
- Practice address
- 1105 Ave FD Roosevelt Ste 5
San Juan, PR 00920-2900 - Phone
- (787) 909-1114
- NPI assigned
- May 18, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 23422 | PR | Primary |
Addresses
Primary practice location
1105 Ave FD Roosevelt Ste 5
San Juan, PR 00920-2900
Mailing address
4 Ave Laguna Apt 5D
Carolina, PR 00979-6570
Phone (787) 949-1877
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23422 | PR | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707609600000",
"number": "1154068310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 AVE LAGUNA APT 5D",
"city": "CAROLINA",
"state": "PR",
"postal_code": "009796570",
"telephone_number": "787-949-1877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1105 AVE FD ROOSEVELT STE 5",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009202900",
"telephone_number": "787-909-1114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VEGA",
"first_name": "LESLIE",
"middle_name": "YOMARIE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-18",
"last_updated": "2024-02-11",
"certification_date": "2024-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "23422",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.