Individual provider Active NPI

Victor Emmanuel Vega Morales, DMD

  • Dentist
  • Naranjito, PR
National Provider Identifier
1962881680
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
058760 Issued in NY
Practice address
2 Sect El Abanico
Naranjito, PR 00719-3804
Phone
(787) 869-3387
NPI assigned
May 27, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Dentist 122300000X 058760 NY Primary

Addresses

Primary practice location

2 Sect El Abanico
Naranjito, PR 00719-3804

Mailing address

2 Sect El Abanico
Naranjito, PR 00719-3804
Phone (787) 869-3387

Other identifiers 2

IdentifierTypeStateIssuer
3417OtherPRDENTAL LICENSE
058760OtherNYDENTAL LICENSE

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221216002692 PR Practitioner - Dentist 3072982826 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Victor Vega Morales LLC CurrentSince Dec 1, 2022 Accepting new patients

Locations

2 Sector El Abanico
Naranjito, PR 00719
Phone (787) 869-3387

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.

NPI Registry JSON

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

{
    "created_epoch": "1432684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1962881680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SECT EL ABANICO",
            "city": "NARANJITO",
            "state": "PR",
            "postal_code": "007193804",
            "telephone_number": "787-869-3387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SECT EL ABANICO",
            "city": "NARANJITO",
            "state": "PR",
            "postal_code": "007193804",
            "telephone_number": "787-869-3387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEGA MORALES",
        "first_name": "VICTOR",
        "middle_name": "EMMANUEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-27",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "058760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "3417",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "058760",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naranjito, PR

Sources for this page

Verify at the official NPI Registry.