Vega Baja Community Health

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

834 Issued in PR

Legal business name

VEGA BAJA COMMUNITY HEALTH

Practice address

Calle Paseo #81
Urb Villa Pinares
Vega Baja, PR 00693

Phone

(787) 858-1111

Fax

(787) 278-3331

NPI assigned

Jun 21, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Luis M Gonzalez BermudezNPI 1376577924

Title

Director Medico

Phone

(787) 278-3331

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Luis M Gonzalez Bermudez, MD

  • General Practice Physician
  • Comerio, PR
  • NPI 1376577924
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174569933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 419",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "00692",
            "telephone_number": "787-858-1111",
            "fax_number": "787-278-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE PASEO #81",
            "address_2": "URB VILLA PINARES",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "00693",
            "telephone_number": "787-858-1111",
            "fax_number": "787-278-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEGA BAJA COMMUNITY HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ BERMUDEZ",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR MEDICO",
        "authorized_official_telephone_number": "787-278-3331",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Milay Joan Valentin Sosa, MD
• Solsiree Valentin, TECHNICIAN
• Aracelis Vargas Leyro, MD.
• Nestor L Vazquez, MD
• Noemi Vazquez, M.T.
• Vega Baja Community Health
• Vega Baja Imaging LLC
• Vega Baja Imaging LLC
• Vega Baja Medical Group Inc
• Vega Baja Medical Services Inc.

• Clinical Medical Laboratory in Vega Baja, PR
• Providers in Vega Baja, PR by specialty
• Clinical Medical Laboratory in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.