Active NPI
Marisol Vega
- General Practice Physician
- Carolina, PR
National Provider Identifier
1679788012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 10366
- Practice address
- Ave.65 Inf. Bo. San Anton Parque Escorial Lote #3
Carolina, PR 00985 - Phone
- (787) 757-6850
- NPI assigned
- May 11, 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 10366 | PR | Primary |
Addresses
Primary practice location
Ave.65 Inf. Bo. San Anton Parque Escorial Lote #3
Carolina, PR 00985
Mailing address
Portal de Los Pinos RR36 Box 19
San Juan, PR 00926
Phone (787) 760-8932
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10366 | PR | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789257600000",
"number": "1679788012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PORTAL DE LOS PINOS RR36 BOX 19",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926",
"telephone_number": "787-760-8932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVE.65 INF. BO. SAN ANTON PARQUE ESCORIAL LOTE #3",
"city": "CAROLINA",
"state": "PR",
"postal_code": "00985",
"telephone_number": "787-757-6850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VEGA",
"first_name": "MARISOL",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-11",
"last_updated": "2026-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "10366",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carolina, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.