Provider Demographics
NPI:1083691208
Name:VEGA VEGA, HECTOR NOEL
Entity Type:Individual
Prefix:DR
First Name:HECTOR
Middle Name:NOEL
Last Name:VEGA VEGA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 979
Mailing Address - Street 2:
Mailing Address - City:ISABELA
Mailing Address - State:PR
Mailing Address - Zip Code:00662-9998
Mailing Address - Country:US
Mailing Address - Phone:787-872-2850
Mailing Address - Fax:787-872-2850
Practice Address - Street 1:CARR. 2 INT KM 112.6
Practice Address - Street 2:BO. GUERRERO SEC. LA CURVA
Practice Address - City:ISABELA
Practice Address - State:PR
Practice Address - Zip Code:00662-9998
Practice Address - Country:US
Practice Address - Phone:787-872-2850
Practice Address - Fax:787-872-2850
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-29
Last Update Date:2023-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR9271208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRMD 9271OtherLICENSE
E96470Medicare UPIN
PR81176Medicare ID - Type Unspecified