Pevo Podiatric Corp

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

License

083 Issued in PR

Legal business name

PEVO PODIATRIC CORP

Practice address

Centro Gran Caribe Carretera #2 KM 29.7
Suite 205
Vega Alta, PR 00692

Phone

(787) 883-4567

Fax

(787) 883-4567

NPI assigned

Apr 14, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Pablo E VegaNPI 1790868610

Title

Owner

Phone

(787) 693-3990

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pablo E Vega, DPM

  • Podiatrist
  • Vega Alta, PR
  • NPI 1790868610
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1271203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713744000000",
    "number": "1376869412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 631",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "006920631",
            "telephone_number": "787-883-4567",
            "fax_number": "787-883-4567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTRO GRAN CARIBE CARRETERA #2 KM 29.7",
            "address_2": "SUITE 205",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "00692",
            "telephone_number": "787-883-4567",
            "fax_number": "787-883-4567"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Corozal Shop Ctr Ste 206",
            "address_purpose": "LOCATION",
            "city": "Corozal",
            "state": "PR",
            "postal_code": "007832409",
            "country_code": "US",
            "telephone_number": "787-883-4567",
            "fax_number": "787-369-7768",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PEVO PODIATRIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-14",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A",
        "authorized_official_last_name": "VEGA",
        "authorized_official_first_name": "PABLO",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-693-3990",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "PR",
            "license": "083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abner Perez, MD
• Dennis E Perez, MD
• Jaclyn Perez
• Shirley Marie Perez, PHARMD
• Zerenitza Perez, PHARM.D.
• Cesar F Pineiro Perez, M.D
• Isamarie Pizarro
• Platinum Emergency Kid PSC
• PMC Marketing Corp
• Potomar Laboratories Inc.

• Podiatric Clinic/Center in Vega Alta, PR
• Providers in Vega Alta, PR by specialty
• Podiatric Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.