David Vega, MT

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

473 Issued in PR

Practice address

21-20 Carr 174
Santa Rosa
Bayamon, PR 00959-6512

Phone

(787) 787-1691

Fax

(787) 740-1770

NPI assigned

Jun 20, 2008

Last updated

Jan 25, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Laboratorio Clinico Dr. Agustin Stahl Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Medical Technician

State licenses

Practice roles

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.

• Lillian I Rivera Ocasio

  dba Lab Clinico Dr Agustin Stahl

  • Clinical Medical Laboratory
  • Bayamon, PR
  • NPI 1285038182
  NPD (past)

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

{
    "created_epoch": "1213920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359072000000",
    "number": "1275794430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21-20 CARR 174",
            "address_2": "SANTA ROSA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009596512",
            "telephone_number": "787-787-1691",
            "fax_number": "787-740-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21-20 CARR 174",
            "address_2": "SANTA ROSA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009596512",
            "telephone_number": "787-787-1691",
            "fax_number": "787-740-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEGA",
        "first_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "MT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-20",
        "last_updated": "2013-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LABORATORIO CLINICO",
            "last_name": "DR. AGUSTIN STAHL",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Dializza Vega Velez, PHARMD
• Doris Vega Villavicencio, MPH,OTR/L
• Cynthia X Vega-Torres, MSC
• Angel Antonio Vega, BS
• Aniram I Vega, LND
• Gilberto Vega, MD
• Hiram Vega, DMD
• Iraida L Vega, LPC
• Leslianne Vega
• Lorna I Vega, MD

• Clinical Medical Laboratory in Bayamon, PR
• Providers in Bayamon, 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 Jan 25, 2013; 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.