Active NPI
Kasey Ruiz Vega, MD
- Medical Physician Assistant
- Caguas, PR
National Provider Identifier
1437748597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 405PA
- Practice address
- Ave Luis Munoz Marin 2Da Seccion Villa del Rey Ze18
Caguas, PR 00725 - Phone
- (787) 393-0306
- NPI assigned
- Jan 13, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 405PA | PR | Primary |
Addresses
Primary practice location
Ave Luis Munoz Marin 2Da Seccion Villa del Rey Ze18
Caguas, PR 00725
Mailing address
PO Box 6356
Caguas, PR 00726
Phone (787) 226-5750
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 |
|---|---|---|---|
| 405PA | PR | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wilmayri Pagan Lopez LLC | Single Specialty | Current | Accepting new patients |
Organizations & group practices 1
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": "1610496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610496000000",
"number": "1437748597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6356",
"city": "CAGUAS",
"state": "PR",
"postal_code": "00726",
"telephone_number": "787-226-5750",
"fax_number": "787-746-4500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVE LUIS MUNOZ MARIN 2DA SECCION VILLA DEL REY ZE18",
"city": "CAGUAS",
"state": "PR",
"postal_code": "00725",
"telephone_number": "787-393-0306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUIZ VEGA",
"first_name": "KASEY",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-13",
"last_updated": "2021-01-13",
"certification_date": "2021-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant, Medical",
"state": "PR",
"license": "405PA",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Caguas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.