Individual provider Active NPI

Rafael Angel Vega-Torres, MD

  • Geriatric Medicine (Family Medicine) Physician
  • San Juan, PR
National Provider Identifier
1881629517
Registry record updated Apr 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
10547 Issued in PR
Practice address
Casia Street # 10
VA Medical Center
San Juan, PR 00921-3201
Phone
(787) 641-7582
NPI assigned
Jul 11, 2006
Last updated
Apr 30, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 10547 PR Primary

Addresses

Primary practice location

Casia Street # 10
VA Medical Center
San Juan, PR 00921-3201

Mailing address

103 Plaza Nueve
Gran Vista 2
Gurabo, PR 00778-5056
Phone (787) 630-7217

Other identifiers 2

IdentifierTypeStateIssuer
69595OtherPRPROVIDER # FOR CRUZ AZUL,
8-2980OtherPRPROVIDER NUMBER SSS

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
I20140321001526 PR Order and Referring Only - Geriatric MedicinePractitioner - Geriatric Medicine 6507097201

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ryder Memorial Hospital Inc Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1367280000000",
    "number": "1881629517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 PLAZA NUEVE",
            "address_2": "GRAN VISTA 2",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "007785056",
            "telephone_number": "787-630-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CASIA STREET # 10",
            "address_2": "VA MEDICAL CENTER",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009213201",
            "telephone_number": "787-641-7582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEGA-TORRES",
        "first_name": "RAFAEL",
        "middle_name": "ANGEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2013-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "PR",
            "license": "10547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER # FOR CRUZ AZUL,",
            "identifier": "69595",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER SSS",
            "identifier": "8-2980",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.