Active NPI
Maritza Vega, M.D.
- General Practice Physician
- San Juan, PR
National Provider Identifier
1497801294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 9443
- Practice address
- 411 Ave de Diego
Puerto Nuevo
San Juan, PR 00920-3706 - Phone
- (787) 782-5949
- Fax
- (787) 782-5949
- NPI assigned
- Jan 25, 2007
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 9443 | PR | Primary |
Addresses
Primary practice location
411 Ave de Diego
Puerto Nuevo
San Juan, PR 00920-3706
Mailing address
411 Ave de Diego
Puerto Nuevo
San Juan, PR 00920-3706
Phone (787) 782-5949
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100422001121 | PR | Practitioner - General Practice | 0749317741 | Practice locations: San Juan, PR |
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Physiotherapy Rehabilitation Services Inc
Practice addresses (Care Compare)
Uu43 Calle
Suite 30
Bayamon, PR 00956-4701
Phone (787) 787-8669
Hospital & facility affiliations
- Hospicio Gregoria Auffant Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9443 | PR | MD | General Practice Physician |
Organizations & group practices 2
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.
-
- Physical Therapy Clinic/Center
- Bayamon, PR
- NPI 1952933764
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Bayamon, PR
- NPI 1982976536
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Hato Rey, PR
- NPI 1043324874
Hospice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352937600000",
"number": "1497801294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 AVE DE DIEGO",
"address_2": "PUERTO NUEVO",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009203706",
"telephone_number": "787-782-5949",
"fax_number": "787-782-5949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 AVE DE DIEGO",
"address_2": "PUERTO NUEVO",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009203706",
"telephone_number": "787-782-5949",
"fax_number": "787-782-5949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VEGA",
"first_name": "MARITZA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-25",
"last_updated": "2012-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "9443",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.