Active NPI
Desiree Gomez Vega
- Student in an Organized Health Care Education/Training Program
- New York City, NY
National Provider Identifier
1861269920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- Bronxcare Health System
1775 Grand Concourse, 6TH Floor, Bronx
New York City, NY 10453 - Phone
- (718) 901-8410
- NPI assigned
- Dec 8, 2023
- Last updated
- Jul 3, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | Primary |
Addresses
Primary practice location
Bronxcare Health System
1775 Grand Concourse, 6TH Floor, Bronx
New York City, NY 10453
Mailing address
Bronxcare Health System, Dept. of Dentistry
1775 Grand Concourse, Bronx
New York City, NY 10453
Phone (718) 901-8410
Other practice location 1
Medical Sciences Campus, Dr.Guillemo Arbona Building
San Juan Medical Center, Barrio Monacillos
San Juan, PR 00936-5067
Phone (787) 758-2525 ext. 1113
Other practice location 2
Bo. Guaraguao, Street 833 interior
Sector Lopez Cases, house #53
Guaynabo, PR 00970
Phone (787) 226-0760
Other practice location 3
Bronxcare Health System
1775 Grand Concourse, 6th Floor, Bronx
New York City, NY 10453
Phone (718) 901-8410
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719964800000",
"number": "1861269920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BRONXCARE HEALTH SYSTEM, DEPT. OF DENTISTRY",
"address_2": "1775 GRAND CONCOURSE, BRONX",
"city": "NEW YORK CITY",
"state": "NY",
"postal_code": "10453",
"telephone_number": "718-901-8410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BRONXCARE HEALTH SYSTEM",
"address_2": "1775 GRAND CONCOURSE, 6TH FLOOR, BRONX",
"city": "NEW YORK CITY",
"state": "NY",
"postal_code": "10453",
"telephone_number": "718-901-8410"
}
],
"practiceLocations": [
{
"address_1": "Medical Sciences Campus, Dr.Guillemo Arbona Building",
"address_2": "San Juan Medical Center, Barrio Monacillos",
"address_purpose": "LOCATION",
"city": "San Juan",
"state": "PR",
"postal_code": "009365067",
"country_code": "US",
"telephone_number": "787-758-2525 x1113",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "Bo. Guaraguao, Street 833 interior",
"address_2": "Sector Lopez Cases, house #53",
"address_purpose": "LOCATION",
"city": "Guaynabo",
"state": "PR",
"postal_code": "00970",
"country_code": "US",
"telephone_number": "787-226-0760",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "Bronxcare Health System",
"address_2": "1775 Grand Concourse, 6th Floor, Bronx",
"address_purpose": "LOCATION",
"city": "New York City",
"state": "NY",
"postal_code": "10453",
"country_code": "US",
"telephone_number": "718-901-8410",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOMEZ VEGA",
"first_name": "DESIREE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-08",
"last_updated": "2024-07-03",
"certification_date": "2024-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.