Individual provider Active NPI

Alexandra Vega Lagares, MD

  • General Practice Physician
  • Juana Diaz, PR
National Provider Identifier
1841225968
Registry record updated Oct 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
14735 Issued in PR
Practice address
186 Calle Rey Francisco
Mansiones En Paseo de Reyes
Juana Diaz, PR 00795-4021
Phone
(787) 648-6200
Fax
(787) 840-0707
NPI assigned
Jul 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2020

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 14735 PR Primary

Addresses

Primary practice location

186 Calle Rey Francisco
Mansiones En Paseo de Reyes
Juana Diaz, PR 00795-4021

Mailing address

186 Calle Rey Francisco
Mansiones En Paseo de Reyes
Juana Diaz, PR 00795-4021
Phone (787) 648-6200

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
I20141216001594 PR Practitioner - General Practice 5890018238 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

917 Ave Tito Castro
Ponce, PR 00716-4717
Phone (787) 844-2080

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14735PRMDAddiction (Substance Use Disorder) Registered Nurse

Organizations & group practices 1

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602806400000",
    "number": "1841225968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 CALLE REY FRANCISCO",
            "address_2": "MANSIONES EN PASEO DE REYES",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "007954021",
            "telephone_number": "787-648-6200",
            "fax_number": "787-840-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 CALLE REY FRANCISCO",
            "address_2": "MANSIONES EN PASEO DE REYES",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "007954021",
            "telephone_number": "787-648-6200",
            "fax_number": "787-840-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEGA LAGARES",
        "first_name": "ALEXANDRA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "14735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Juana Diaz, PR

Sources for this page

Verify at the official NPI Registry.