Individual provider Active NPI

Desiree Gomez Vega

  • Student in an Organized Health Care Education/Training Program
  • New York City, NY
National Provider Identifier
1861269920
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.