Provider Demographics
NPI:1578159158
Name:DR HECTOR VEGA VEGA PSC
Entity Type:Organization
Organization Name:DR HECTOR VEGA VEGA PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HECTOR
Authorized Official - Middle Name:NOEL
Authorized Official - Last Name:VEGA VEGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-630-5459
Mailing Address - Street 1:PO BOX 979
Mailing Address - Street 2:
Mailing Address - City:ISABELA
Mailing Address - State:PR
Mailing Address - Zip Code:00662-0979
Mailing Address - Country:US
Mailing Address - Phone:787-872-2850
Mailing Address - Fax:
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:00662-0066
Practice Address - Country:US
Practice Address - Phone:787-872-2850
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-17
Last Update Date:2023-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty