Jose M. Vega Emmanuelli Sr., M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5587 Issued in PR

Practice address

Calle Dufresne 9 E
Humacao, PR 00791

Phone

(787) 852-5753

Fax

(787) 285-4332

NPI assigned

Nov 25, 2005

Last updated

Apr 27, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1132876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430092800000",
    "number": "1780667550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8457",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "00792",
            "telephone_number": "787-852-5753",
            "fax_number": "787-285-4332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE DUFRESNE 9 E",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "00791",
            "telephone_number": "787-852-5753",
            "fax_number": "787-285-4332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEGA EMMANUELLI",
        "first_name": "JOSE",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "name_suffix": "Sr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-25",
        "last_updated": "2015-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "5587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ivette Vazquez, MA PSYCHOLOGIST
• Jormarie Vazquez
• Maria Julia Vazquez, M.D.
• Marimer Vazquez
• VC Partners LLC (Humacao X Ray & Utrasound)
• Karylin Raquel Vega Rivera
• Ana I Vega Velazquez, CCC-SLP
• Edwin M Veguilla
• Edna Rocio Velasquez
• Milady Velazquez de Jesus, OTD

• Family Medicine Physician in Humacao, PR
• Providers in Humacao, PR by specialty
• Family Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.