Isaelisse M. Vega, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

12787 Issued in PR

Practice address

3049 Calle Novas
Starlight
Ponce, PR 00717-1476

Phone

(787) 473-4451

NPI assigned

Oct 28, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1445990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445990400000",
    "number": "1992177943",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "STARLIGHT 3049 NOVAS",
            "city": "PONCE",
            "state": "PUERTO RICO",
            "postal_code": "00717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3049 CALLE NOVAS",
            "address_2": "STARLIGHT",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171476",
            "telephone_number": "787-473-4451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEGA",
        "first_name": "ISAELISSE",
        "middle_name": "M.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-28",
        "last_updated": "2015-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "12787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4683690",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ivelisse Vega Viera
• Lourdes Maria Vega-Castellvi
• Natalie Vega-Medina, PHARM. D.
• Glorimar Vega, LCSW
• Helen Marie Vega, MD
• Josephine Soto Vega, R.D.
• Lismel Stephanie Vega
• Mairim Vega, PSYD
• Maryorie Vega, MSW
• Nina M. Vega

• Clinical Social Worker in Ponce, PR
• Providers in Ponce, PR by specialty
• Clinical Social Worker in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.