Organization Active NPI

G. E. Vega, M. D., P. a.

  • Specialist
  • Tampa, FL
National Provider Identifier
1164728630
Registry record updated Jun 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME 21412 Issued in FL
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

Updated by the provider on Jun 3, 2011

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
054821900MedicaidFL

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.