Provider Demographics
NPI:1184601767
Name:VEGA, NAYDA E (MD)
Entity type:Individual
Prefix:
First Name:NAYDA
Middle Name:E
Last Name:VEGA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1095 WILSON ST.
Mailing Address - Street 2:APT 1601
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00907-1751
Mailing Address - Country:US
Mailing Address - Phone:787-725-2991
Mailing Address - Fax:787-725-2991
Practice Address - Street 1:AVE 65TH INFANTERIA KM12.3
Practice Address - Street 2:INSTITUTO DE OJOS Y PIEL
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00985
Practice Address - Country:US
Practice Address - Phone:787-769-2477
Practice Address - Fax:787-276-0065
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-27
Last Update Date:2015-01-21
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Provider Licenses
StateLicense IDTaxonomies
PR11807207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR080067OtherCRUZ AZUL
PR87740-VEOtherSSS
PR87740Medicare ID - Type Unspecified
PR080067OtherCRUZ AZUL