Active NPI
Benjamin Alejandro Vega, M.D.
- General Practice Physician
- Guanica, PR
National Provider Identifier
1245686534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 19328
- Practice address
- 10 Calle 25 de Julio
Guanica, PR 00653-2105 - Phone
- (787) 692-7604
- NPI assigned
- May 5, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 19328 | PR | Primary |
Addresses
Primary practice location
10 Calle 25 de Julio
Guanica, PR 00653-2105
Mailing address
Hacienda Constancia Calle Vistamonte #787
Hormigueros, PR 00660
Phone (787) 692-7604
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210929000235 | PR | Practitioner - General Practice | 5890192124 | Practice locations: Guanica, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doctor Xpress Corporation | General Practice | Current | Accepting new patients |
Locations
10 Calle 25 de Julio
Guanica, PR 00653
Phone (787) 692-7604
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Guanica, PR
- NPI 1164286266
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707350400000",
"number": "1245686534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HACIENDA CONSTANCIA CALLE VISTAMONTE #787",
"city": "HORMIGUEROS",
"state": "PR",
"postal_code": "00660",
"telephone_number": "787-692-7604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 CALLE 25 DE JULIO",
"city": "GUANICA",
"state": "PR",
"postal_code": "006532105",
"telephone_number": "787-692-7604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VEGA",
"first_name": "BENJAMIN",
"middle_name": "ALEJANDRO",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-05-05",
"last_updated": "2024-02-08",
"certification_date": "2024-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "19328",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Guanica, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.