Individual provider Active NPI

Jennifer Abraham Vega, MD

  • General Practice Physician
  • San Juan, PR
National Provider Identifier
1366030595
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
002063-PA Issued in PR
Practice address
Calle Santa Rosa #1
San Juan Garden
San Juan, PR 00927-4850
Phone
(787) 766-0075
Fax
(787) 759-8411
NPI assigned
Jan 4, 2021
Last updated
Mar 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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 002063-PA PR Primary

Addresses

Primary practice location

Calle Santa Rosa #1
San Juan Garden
San Juan, PR 00927-4850

Mailing address

HC 5 Box 45503
Vega Baja, PR 00693-9642
Phone (787) 451-0971

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Jennifer.abraham@edu.uag.mx Direct

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 Medicine

State licenses

LicenseStateTypeSpecialty
002063-PAPRMDGeneral Practice Physician

Interoperability endpoints

  • Direct secure messaging: jennifer.abraham@edu.uag.mx

NPI Registry JSON

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

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1366030595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 5 BOX 45503",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006939642",
            "telephone_number": "787-451-0971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE SANTA ROSA #1",
            "address_2": "SAN JUAN GARDEN",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009274850",
            "telephone_number": "787-766-0075",
            "fax_number": "787-759-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAHAM VEGA",
        "first_name": "JENNIFER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-04",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "002063-PA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jennifer.abraham@edu.uag.mx",
            "affiliation": "N",
            "endpointDescription": "Institutional e-mail address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "Carr. PR-14 KM 1.2",
            "city": "Cayey",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.