Angel Ricardo Vega Rodriguez, MSW, LCSW,

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

15286 Issued in PR

Practice address

Urb. la Hacienda Calle 46 At4
Guayama, PR 00784

Phone

(787) 587-4245

NPI assigned

Apr 13, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1586736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1376162024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. LA HACIENDA CALLE 46 AT4",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "00784",
            "telephone_number": "787-587-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. LA HACIENDA CALLE 46 AT4",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "00784",
            "telephone_number": "787-587-4245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEGA RODRIGUEZ",
        "first_name": "ANGEL",
        "middle_name": "RICARDO",
        "credential": "MSW, LCSW,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-13",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "24478",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "15286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lida Vazquez-Ramirez, M.D.
• Nilmar Vazquez-Reyes
• Dalila Vazquez, RD
• Jean Manuel Vazquez, MD
• Liza Marieliz Vazquez
• Dimara Vega, MD
• Leida E Vega
• Michelle Vinas
• Vision 2000 Guayama, PSC
• Vision2000

• Clinical Social Worker in Guayama, PR
• Providers in Guayama, PR by specialty
• Clinical Social Worker in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; 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.