Provider Demographics
NPI:1326084542
Name:VEGA-PEREZ, MARGARITA (OT)
Entity Type:Individual
Prefix:
First Name:MARGARITA
Middle Name:
Last Name:VEGA-PEREZ
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 1 BOX 6131
Mailing Address - Street 2:
Mailing Address - City:JUANA DIAZ
Mailing Address - State:PR
Mailing Address - Zip Code:00795-9723
Mailing Address - Country:US
Mailing Address - Phone:787-837-8803
Mailing Address - Fax:787-260-0034
Practice Address - Street 1:LA CASA DEL VETERANO/ CARR. 592 KM. 5.6
Practice Address - Street 2:BO. AMUELAS #115
Practice Address - City:JUANA DIAZ
Practice Address - State:PR
Practice Address - Zip Code:00795
Practice Address - Country:US
Practice Address - Phone:787-837-6574
Practice Address - Fax:787-260-0034
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR484225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist