Gesalle Vega, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

16576 Issued in PR

Practice address

815 Calle Concepcion Vera
Moca, PR 00676-5016

Phone

(787) 675-4122

NPI assigned

May 1, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• GVS Medical & Aesthetic Clinic

  • General Practice Physician
  • Aguada, PR
  • NPI 1730998485
  Medicare reassignment NPD

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295956720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 1 BOX 6555",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "006769623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 CALLE CONCEPCION VERA",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "006765016",
            "telephone_number": "787-675-4122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEGA",
        "first_name": "GESALLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "16576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thay An Marie Vazquez-Mendez, PH D.
• Tomas A Vazquez, TEM
• Yamil Vazquez, DMD
• Kathia Marie Vega Alicea, MS
• Eneida Vega Velazquez, PSICOLOGA
• Leamsi Rey Vega
• Myriam Vega, BSN
• Jose T. Velazquez Rivera, M.D.
• Iris D Velazquez, MD
• Adrian Alejandro Velez Domenech, PHARMD

• General Practice Physician in Moca, PR
• Providers in Moca, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.