Active NPI
Maria Isabel Matias Vega
- Speech-Language Pathologist
- Moca, PR
National Provider Identifier
1861362865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 4405
- Practice address
- Carr. 111 KM 5.1 Calle Juan San Antonio, Bo Pueblo
Edificio 207
Moca, PR 00676 - Phone
- (787) 818-0100
- NPI assigned
- Nov 6, 2025
- Last updated
- Nov 6, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 4405 | PR | Primary |
Addresses
Primary practice location
Carr. 111 KM 5.1 Calle Juan San Antonio, Bo Pueblo
Edificio 207
Moca, PR 00676
Mailing address
PO Box 2113
Aguada, PR 00602-2113
Phone (939) 286-4047
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4405 | PR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762387200000",
"number": "1861362865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2113",
"city": "AGUADA",
"state": "PR",
"postal_code": "006022113",
"telephone_number": "939-286-4047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR. 111 KM 5.1 CALLE JUAN SAN ANTONIO, BO PUEBLO",
"address_2": "EDIFICIO 207",
"city": "MOCA",
"state": "PR",
"postal_code": "00676",
"telephone_number": "787-818-0100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATIAS VEGA",
"first_name": "MARIA",
"middle_name": "ISABEL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-11-06",
"last_updated": "2025-11-06",
"certification_date": "2025-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PR",
"license": "4405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moca, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.