Individual provider Active NPI

Danyra L Santiago Vega, M.D.

  • General Practice Physician
  • Mayaguez, PR
National Provider Identifier
1689049397
Registry record updated Sep 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
19,212 Issued in PR
Practice address
Carr. 339 KM 3.3
Bo Cambalache
Mayaguez, PR 00680
Phone
(787) 223-6755
NPI assigned
Dec 7, 2015
Last updated
Sep 14, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 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 19,212 PR Primary

Addresses

Primary practice location

Carr. 339 KM 3.3
Bo Cambalache
Mayaguez, PR 00680

Mailing address

PO Box 1565
Mayaguez, PR 00681-1565
Phone (787) 223-6755

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
I20160922000516 PR Practitioner - General Practice 4284921099 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

Calle Luis Montalvo
119 Bo Maravilla Norte
Las Marias, PR 00670-0000
Phone (787) 827-3798

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19,212PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Yaguez, Inc CurrentSince Jul 1, 2016 Accepting new patients
Clinica Yaguez, Inc. CurrentSince Jul 1, 2016 Accepting new patients
Migrant Health Center Western Region,Inc Current Accepting new patients
Migrant Health Center Western Region, Inc. CurrentSince May 5, 2022 Accepting new patients
Migrant Health Center Western Region, Inc. CurrentSince May 5, 2022 Accepting new patients
Migrant Health Center Western Region, Inc. CurrentSince May 5, 2022 Accepting new patients

Locations

497 Calle Rmn Btnces S
Mayaguez, PR 00680

117 Calle Ramon Valdes
Mayaguez, PR 00680
Phone (787) 832-8445

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1449446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473811200000",
    "number": "1689049397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1565",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006811565",
            "telephone_number": "787-223-6755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 339 KM 3.3",
            "address_2": "BO CAMBALACHE",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-223-6755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO VEGA",
        "first_name": "DANYRA",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-07",
        "last_updated": "2016-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "19,212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

Verify at the official NPI Registry.