Individual provider Active NPI

Reynaldo Rosa Vega, DMD

  • General Practice Dentistry
  • Gurabo, PR
National Provider Identifier
1750421780
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2327 Issued in PR
Practice address
Carretera 181 KM 23
Barrio Celada
Gurabo, PR 00778
Phone
(787) 712-8857
Fax
(787) 712-8670
NPI assigned
Feb 7, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2327 PR Primary

Addresses

Primary practice location

Carretera 181 KM 23
Barrio Celada
Gurabo, PR 00778

Mailing address

1503 Ave Ashford
Cond Las Olas Apto 9a
San Juan, PR 00911-1134
Phone (787) 712-8857

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170317001570 PR Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 2860777695

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1750421780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 AVE ASHFORD",
            "address_2": "COND LAS OLAS APTO 9A",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009111134",
            "telephone_number": "787-712-8857",
            "fax_number": "787-712-8857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 181 KM 23",
            "address_2": "BARRIO CELADA",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "00778",
            "telephone_number": "787-712-8857",
            "fax_number": "787-712-8670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSA VEGA",
        "first_name": "REYNALDO",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "2327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gurabo, PR

Sources for this page

Verify at the official NPI Registry.