Individual provider Active NPI

Nelia Yejo Vega, M.D.

  • General Practice Physician
  • Guayama, PR
National Provider Identifier
1891770129
Registry record updated Sep 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
14509 Issued in PR
Practice address
Calle 3 Num 80 Sur
Southern Medical Plaza
Guayama, PR 00785
Phone
(787) 866-1212
Fax
(787) 866-3322
NPI assigned
Dec 9, 2005
Last updated
Sep 16, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 14509 PR Primary

Addresses

Primary practice location

Calle 3 Num 80 Sur
Southern Medical Plaza
Guayama, PR 00785

Mailing address

PO Box 1805
Guayama, PR 00785
Phone (787) 866-1212

Other names 1

  • Nelia Yejo Other name

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
I20040327000055 PR Practitioner - General Practice 0941192678 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Health Care Group, Inc. General Practice CurrentSince Feb 1, 2005 Accepting new patients
Municipio de Maunabo CurrentSince May 20, 2014 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: nelia.yejovega@3479.securemail.prognocis.com

Organizations & group practices 2

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": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410825600000",
    "number": "1891770129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1805",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "00785",
            "telephone_number": "787-866-1212",
            "fax_number": "787-866-3322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE 3 NUM 80 SUR",
            "address_2": "SOUTHERN MEDICAL PLAZA",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "00785",
            "telephone_number": "787-866-1212",
            "fax_number": "787-866-3322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEJO VEGA",
        "first_name": "NELIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-09",
        "last_updated": "2014-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "14509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NELIA",
            "last_name": "YEJO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Guayama, PR

Sources for this page

Verify at the official NPI Registry.