Provider Demographics
NPI:1952529000
Name:VICTOR VEGA
Entity Type:Organization
Organization Name:VICTOR VEGA
Other - Org Name:VEGA AMBULANCE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:
Authorized Official - Last Name:VEGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:939-630-2987
Mailing Address - Street 1:535 CALLE JUAN RODRIGUEZ
Mailing Address - Street 2:
Mailing Address - City:PENUELAS
Mailing Address - State:PR
Mailing Address - Zip Code:00624-1804
Mailing Address - Country:US
Mailing Address - Phone:787-585-3324
Mailing Address - Fax:787-836-1325
Practice Address - Street 1:CDT PENUELAS
Practice Address - Street 2:CARR 385 KM 0.5
Practice Address - City:PENUELAS
Practice Address - State:PR
Practice Address - Zip Code:00624
Practice Address - Country:US
Practice Address - Phone:787-585-3324
Practice Address - Fax:787-836-1325
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport