Provider Demographics
NPI:1972231140
Name:VEGA MENA, CARLOS ARMANDO I
Entity Type:Individual
Prefix:MR
First Name:CARLOS
Middle Name:ARMANDO
Last Name:VEGA MENA
Suffix:I
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:COND. NEW CENTER PLAZA C210 JOSE OLIVER
Mailing Address - Street 2:APT. 610
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00918
Mailing Address - Country:US
Mailing Address - Phone:787-512-6014
Mailing Address - Fax:
Practice Address - Street 1:COND. NEW CENTER PLAZA C210 JOSE OLIVER
Practice Address - Street 2:APT. 610
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918
Practice Address - Country:US
Practice Address - Phone:787-512-6014
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-15
Last Update Date:2022-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program