Active NPI
Ivonne Maria Vega, M.D.
- Geriatric Medicine (Family Medicine) Physician
- Vega Baja, PR
National Provider Identifier
1407991813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- License
- 12520
- Practice address
- 227 Jardin Tropical
Jardines de Vega Baja
Vega Baja, PR 00693-3980 - Phone
- (787) 622-5609
- NPI assigned
- Feb 21, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | 12520 | PR | Primary |
Addresses
Primary practice location
227 Jardin Tropical
Jardines de Vega Baja
Vega Baja, PR 00693-3980
Mailing address
227 Jardin Tropical
Jardines de Vega Baja
Vega Baja, PR 00693-3980
Phone (787) 622-5609
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12520 | Other | PR | LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12520 | PR | MD | Geriatric Medicine (Family Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407991813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "227 JARDIN TROPICAL",
"address_2": "JARDINES DE VEGA BAJA",
"city": "VEGA BAJA",
"state": "PR",
"postal_code": "006933980",
"telephone_number": "787-622-5609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "227 JARDIN TROPICAL",
"address_2": "JARDINES DE VEGA BAJA",
"city": "VEGA BAJA",
"state": "PR",
"postal_code": "006933980",
"telephone_number": "787-622-5609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VEGA",
"first_name": "IVONNE",
"middle_name": "MARIA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "PR",
"license": "12520",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "12520",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Vega Baja, PR
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.