Individual provider Active NPI

Miguel Angel Santiago Vega

  • General Practice Physician
  • Salinas, PR
National Provider Identifier
1588848436
Registry record updated Sep 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
17005 Issued in PR
Practice address
C70 Bo Playita
Salinas, PR 00751-2922
Phone
(787) 644-1320
NPI assigned
Dec 27, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 17005 PR Primary

Addresses

Primary practice location

C70 Bo Playita
Salinas, PR 00751-2922

Mailing address

C70 Bo Playita
Salinas, PR 00751-2922
Phone (787) 644-1320

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080506000252 PR Practitioner - General Practice 1951480789 Practice locations: Maunabo, PR; Salinas, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
17005PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Home Medic Coordination General Practice Past 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": "1198713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473379200000",
    "number": "1588848436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "C70 BO PLAYITA",
            "city": "SALINAS",
            "state": "PR",
            "postal_code": "007512922",
            "telephone_number": "787-644-1320",
            "fax_number": "787-825-1248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "C70 BO PLAYITA",
            "city": "SALINAS",
            "state": "PR",
            "postal_code": "007512922",
            "telephone_number": "787-644-1320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO VEGA",
        "first_name": "MIGUEL",
        "middle_name": "ANGEL",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-27",
        "last_updated": "2016-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, PR

Sources for this page

Verify at the official NPI Registry.