Active NPI
G. E. Vega, M. D., P. a.
- Specialist
- Tampa, FL
National Provider Identifier
1164728630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- ME 21412
- Legal business name
- G. E. VEGA, M. D., P. A.
- Practice address
- 4600 N Habana Ave
Suite 33
Tampa, FL 33614-7112 - Phone
- (813) 870-1404
- Fax
- (813) 870-3479
- NPI assigned
- Feb 1, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gilberto Eli Vega, M.D.
- Title
- Physician
- Phone
- (813) 870-1404
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | ME 21412 | FL | Primary |
Addresses
Primary practice location
4600 N Habana Ave
Suite 33
Tampa, FL 33614-7112
Mailing address
PO Box 271058
Tampa, FL 33688-1058
Phone (813) 870-1404
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 054821900 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
4600 N Habana Ave
Ste 33
Tampa, FL 33614
Phone (813) 870-1404
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296518400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1307059200000",
"number": "1164728630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 271058",
"city": "TAMPA",
"state": "FL",
"postal_code": "336881058",
"telephone_number": "813-870-1404",
"fax_number": "813-870-3479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 N HABANA AVE",
"address_2": "SUITE 33",
"city": "TAMPA",
"state": "FL",
"postal_code": "336147112",
"telephone_number": "813-870-1404",
"fax_number": "813-870-3479"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "G. E. VEGA, M. D., P. A.",
"organizational_subpart": "NO",
"enumeration_date": "2011-02-01",
"last_updated": "2011-06-03",
"status": "A",
"authorized_official_last_name": "VEGA",
"authorized_official_first_name": "GILBERTO",
"authorized_official_middle_name": "ELI",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "813-870-1404",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "FL",
"license": "ME 21412",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "054821900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.