Marilee Alejandra Tiru Vega

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

36166 Issued in PR

Practice address

4Ta Ext El Monte
Cordova St C82
Ponce, PR 00730

Phone

(787) 407-0059

NPI assigned

Feb 5, 2020

Last updated

Sep 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1770115057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 801426",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007801426",
            "telephone_number": "787-407-0059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4TA EXT EL MONTE",
            "address_2": "CORDOVA ST C82",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00730",
            "telephone_number": "787-407-0059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIRU VEGA",
        "first_name": "MARILEE",
        "middle_name": "ALEJANDRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-05",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PR",
            "license": "6411627",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "36166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "marilee.tiru@upr.edu",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4ta Ext El Monte",
            "address_2": "Cordova St. C82",
            "city": "Ponce",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tiber Health, Public Benefit Corporation (Ponce Health Sciences University)
• Tiber Health, Public Benefit Corporation (Ponce Health Sciences University)
• Tiber Health, Public Benefit Corporation (Ponce Health Sciences University)
• Jennifer Timothee-Oliveras, MD
• Genesis M Tirado Mejias
• Kayla Marie Togneri
• Veronica Del Mar Toledo Miralles
• Toperbee Corporation (Pearle Vision Ponce)
• Yoamy Toro Morales
• Jorge A. Toro-Burguete, M.D.

• General Practice Physician in Ponce, PR
• Providers in Ponce, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.