Provider Demographics
NPI:1003895566
Name:VEGA, MATIAS JAMES (MD)
Entity type:Individual
Prefix:DR
First Name:MATIAS
Middle Name:JAMES
Last Name:VEGA
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1217 1ST ST NW
Mailing Address - Street 2:PO BOX 25445
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87102-1529
Mailing Address - Country:US
Mailing Address - Phone:505-242-4644
Mailing Address - Fax:505-242-3531
Practice Address - Street 1:1217 1ST ST NW
Practice Address - Street 2:ALBUQUERQUE HEALTH CARE FOR THE HOMELESS
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87102-1529
Practice Address - Country:US
Practice Address - Phone:505-242-4644
Practice Address - Fax:505-242-3531
Is Sole Proprietor?:No
Enumeration Date:2006-01-12
Last Update Date:2017-01-01
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Provider Licenses
StateLicense IDTaxonomies
NM98-409207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine