Individual provider Active NPI

Ighel Javier Vegue, D.O.

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1205287927
Registry record updated Feb 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS15819 Issued in FL
Practice address
2808 SW 23Rd St
Miami, FL 33145-3310
Phone
(205) 499-6481
NPI assigned
Jun 23, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS15819 FL Primary

Addresses

Primary practice location

2808 SW 23Rd St
Miami, FL 33145-3310

Mailing address

5040 NW 7TH St Ste 635
Miami, FL 33126-3796
Phone (205) 499-6481

Other identifiers 1

IdentifierTypeStateIssuer
UO5271OtherFLFLORIDA BOARD OF OSTEOPATHIC MEDICINE

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 Osteopathy

State licenses

LicenseStateTypeSpecialty
OS15819FLMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1466640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1205287927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5040 NW 7TH ST STE 635",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263796",
            "telephone_number": "205-499-6481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2808 SW 23RD ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331453310",
            "telephone_number": "205-499-6481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEGUE",
        "first_name": "IGHEL",
        "middle_name": "JAVIER",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-23",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS15819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BOARD OF OSTEOPATHIC MEDICINE",
            "identifier": "UO5271",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; 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.