Active NPI
Rafael Angel Vega-Torres, MD
- Geriatric Medicine (Family Medicine) Physician
- San Juan, PR
National Provider Identifier
1881629517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- License
- 10547
- 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, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 69595 | Other | PR | PROVIDER # FOR CRUZ AZUL, |
| 8-2980 | Other | PR | PROVIDER 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140321001526 | PR | Order and Referring Only - Geriatric Medicine | 6507097201 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New 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.
-
- General Acute Care Hospital
- Humacao, PR
- NPI 1447270319
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.