Individual provider Active NPI

Dimara Vega, MD

  • Emergency Medicine Physician
  • Guayama, PR
National Provider Identifier
1366776015
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
12419R Issued in PR
Practice address
Estancias de Olimpo Calle a #1
Guayama, PR 00784
Phone
(787) 240-4532
NPI assigned
Sep 29, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 12419R PR Primary

Addresses

Primary practice location

Estancias de Olimpo Calle a #1
Guayama, PR 00784

Mailing address

500 Knights Run Ave
Tampa, FL 33602-6007
Phone (787) 718-4028

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20131206001678 FL Practitioner - Emergency Medicine 3173750676 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12419RPRMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beyondbela Aesthetics & Wellness Corp Emergency Medicine Current Accepting new patients
W4P LLC Emergency Medicine CurrentSince Dec 1, 2020 Accepting new patients
Quasar Family Medicine North Carolina PLLC Current Accepting new patients
Emergency Medicine Services of FL, LLC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients

Locations

119 Oakfield Dr
Brandon, FL 33511
Phone (813) 571-5150

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

700 W Oak St
Kissimmee, FL 34741
Phone (407) 518-3553

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

3065 James L Redman Pkwy
Plant City, FL 33566
Phone (813) 759-4900

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

12530 US Highway 301 S
Riverview, FL 33578
Phone (813) 413-3888

5731 Bee Ridge Rd
Sarasota, FL 34233
Phone (888) 221-2216

10461 Quality Dr
Spring Hill, FL 34609
Phone (352) 688-3002

5234 E Fowler Ave
Temple Terrace, FL 33617
Phone (813) 496-2744

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1254182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1366776015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 KNIGHTS RUN AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336026007",
            "telephone_number": "787-718-4028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ESTANCIAS DE OLIMPO CALLE A #1",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "00784",
            "telephone_number": "787-240-4532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEGA",
        "first_name": "DIMARA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-29",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PR",
            "license": "12419R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guayama, PR

Sources for this page

Verify at the official NPI Registry.