Provider Demographics
NPI:1568505063
Name:DR.HIRAMVEGAAYOROA,PSC
Entity Type:Organization
Organization Name:DR.HIRAMVEGAAYOROA,PSC
Other - Org Name:DR.HIRAMVEGAAYOROA,PSC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HIRAM
Authorized Official - Middle Name:
Authorized Official - Last Name:VEGA AYOROA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:787-780-3553
Mailing Address - Street 1:AZALEA 1A7 ROYAL PALM
Mailing Address - Street 2:1
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00956
Mailing Address - Country:US
Mailing Address - Phone:787-780-3553
Mailing Address - Fax:
Practice Address - Street 1:AZALEA 1A7 ROYAL PALM
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00956
Practice Address - Country:US
Practice Address - Phone:787-780-3553
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-14
Last Update Date:2008-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR14671223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Multi-Specialty