Liz Marie Gomez Vega, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

19526 Issued in PR

Practice address

2301 Veredas del Laurel
Coto Laurel, PR 00780-3005

Phone

(787) 909-1166

NPI assigned

Dec 9, 2016

Last updated

Aug 9, 2022By the provider in NPPES

Sex

Female

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

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

Specialty

Family Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bella Vista Hospital IncGroup PAC ID 6507831351, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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

• Bella Vista Hospital, Inc

  dba Bella Vista Family Medicine

  • Family Medicine Physician
  • Mayaguez, PR
  • NPI 1881998334
  Medicare reassignment Care Compare group NPD
• Bella Vista Hospital, Inc

  dba Bella Vista Anesthesiology Group

  • Anesthesiology Physician
  • Mayaguez, PR
  • NPI 1215827134
  NPD

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

{
    "created_epoch": "1481241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1861936890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 563",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007920563",
            "telephone_number": "787-909-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 VEREDAS DEL LAUREL",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007803005",
            "telephone_number": "787-909-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ VEGA",
        "first_name": "LIZ",
        "middle_name": "MARIE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-09",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "19526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rafael Manuel Fernandez-Soltero, MD
• Aury Linette Figueroa Berdecia
• Migdalia Flores Castillo, PSYD
• Jose O Fumero
• Luis Gerena
• Antonio Luis Gomez
• Gladybel Marie Gorbea, PH.D
• Jorge E. Grillasca Palou, M.D.
• Marta Enid Guzman Vega
• Health Dental Clinic

• Family Medicine Physician in Coto Laurel, PR
• Providers in Coto Laurel, 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 Aug 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.