Individual provider Active NPI

Harold William Bastian Vega, MD

  • General Practice Physician
  • Guayama, PR
National Provider Identifier
1215543277
Registry record updated Sep 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
21981 Issued in PR
Practice address
El Legado Golf Resort
Apt.424
Guayama, PR 00784
Phone
(787) 692-0311
NPI assigned
Sep 16, 2020
Last updated
Sep 21, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 21981 PR Primary

Addresses

Primary practice location

El Legado Golf Resort
Apt.424
Guayama, PR 00784

Mailing address

El Legado Golf Resort
Apt.424
Guayama, PR 00784
Phone (787) 692-0311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201208000161 PR Practitioner - General Practice 3577975028 Reassigns benefits to 7 organizations
Practice locations: Santa Isabel, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PR Healthcare Management GroupGroup PAC ID 5294975793, 8 clinicians

Practice addresses (Care Compare)

Carr 31 KM
Suite 0
Naguabo, PR 00718
Phone (787) 874-3152

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
21981PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inspira Behavioral Care Corp. Current Accepting new patients
Metro Toa Baja, Inc. CurrentSince Apr 4, 2024 Accepting new patients
Integrate Community Health System Current Accepting new patients
Globalsky Health Puerto Rico LLC General Practice CurrentSince Nov 17, 2025 Accepting new patients
Gobierno Municipal de Juncos CurrentSince Sep 28, 2025 Accepting new patients
Inspira Behavioral Care Corp CurrentSince Nov 2, 2020 Accepting new patients
Metro Pavia Healthcare Centers CurrentSince Aug 30, 2024 Accepting new patients
Metro Toa Baja, Inc. CurrentSince Apr 4, 2024 Accepting new patients
Metro Pavia Healthcare Centers Inc Current Accepting new patients
Municipio de Juncos CurrentSince Sep 28, 2025 Accepting new patients
PR Healthcare Management Group CurrentSince Jun 29, 2025 Accepting new patients
PR Healthcare Management Group CurrentSince Jun 29, 2025 Accepting new patients
Integrate Community Health System, Inc. CurrentSince Jun 30, 2024 Accepting new patients
Metro Pavia Healthcare Center CurrentSince Aug 30, 2024 Accepting new patients
Integrate Community Health System CurrentSince Jun 30, 2024 Accepting new patients
Inspira Behavioral Care Corp. CurrentSince Nov 2, 2020 Accepting new patients

Locations

1654 Calle Tulipan
Ste 100
San Juan, PR 00927
Phone (939) 739-2761

55 Calle Comercio
Yauco, PR 00698
Phone (787) 267-1810

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1600214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600646400000",
    "number": "1215543277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "EL LEGADO GOLF RESORT",
            "address_2": "APT.424",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "00784",
            "telephone_number": "787-692-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EL LEGADO GOLF RESORT",
            "address_2": "APT.424",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "00784",
            "telephone_number": "787-692-0311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASTIAN VEGA",
        "first_name": "HAROLD",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-16",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "21981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guayama, PR

Sources for this page

Verify at the official NPI Registry.