Active NPI
Maryorie Vega, MSW
- Clinical Psychologist
- Ponce, PR
National Provider Identifier
1902073869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 5616
- Practice address
- 184 Calle Guadalupe
Ponce, PR 00730-3561 - Phone
- (787) 753-9515
- Fax
- (787) 753-8327
- NPI assigned
- May 9, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 8903 | PR | |
| Clinical Psychologist | 103TC0700X | 5616 | PR | Primary |
Addresses
Primary practice location
184 Calle Guadalupe
Ponce, PR 00730-3561
Mailing address
11 Ave Liborio Lopez
Sabana Grande, PR 00637-2036
Phone (787) 215-3653
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8903 | PR | MD | Social Worker |
| 5616 | PR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inspira Psychiatric Services PSC | 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 and National Provider Directory roles.
-
- Adult Mental Health Clinic/Center
- Bayamon, PR
- NPI 1912088238
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404950400000",
"number": "1902073869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 AVE LIBORIO LOPEZ",
"city": "SABANA GRANDE",
"state": "PR",
"postal_code": "006372036",
"telephone_number": "787-215-3653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "184 CALLE GUADALUPE",
"city": "PONCE",
"state": "PR",
"postal_code": "007303561",
"telephone_number": "787-753-9515",
"fax_number": "787-753-8327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VEGA",
"first_name": "MARYORIE",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-09",
"last_updated": "2014-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PR",
"license": "8903",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "5616",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.