Individual provider Active NPI

Hilda L. Vega-de Jesus

  • Pharmacist
  • Fajardo, PR
National Provider Identifier
1497171490
Registry record updated Mar 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
2721 Issued in PR
Practice address
Eastern Regional Shopping Center
Carretera #3
Fajardo, PR 00738
Phone
(787) 863-3518
Fax
(787) 860-1280
NPI assigned
Mar 14, 2014
Last updated
Mar 14, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 2721 PR Primary

Addresses

Primary practice location

Eastern Regional Shopping Center
Carretera #3
Fajardo, PR 00738

Mailing address

59 Calle Principal
PO Box 23 Palmer
Rio Grande, PR 00721-0023
Phone (787) 863-3518

Other identifiers 1

IdentifierTypeStateIssuer
2721OtherPRSTATE 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

State licenses

LicenseStateTypeSpecialty
2721PRMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1394755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394755200000",
    "number": "1497171490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 CALLE PRINCIPAL",
            "address_2": "PO BOX 23 PALMER",
            "city": "RIO GRANDE",
            "state": "PR",
            "postal_code": "007210023",
            "telephone_number": "787-863-3518",
            "fax_number": "787-860-1280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EASTERN REGIONAL SHOPPING CENTER",
            "address_2": "CARRETERA #3",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "00738",
            "telephone_number": "787-863-3518",
            "fax_number": "787-860-1280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEGA-DE JESUS",
        "first_name": "HILDA",
        "middle_name": "L.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-14",
        "last_updated": "2014-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "2721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "2721",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fajardo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2014; 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.