Doctor Name: | DR. WILLIAM ALFONSO VEGA VIVAS |
NPI Number: | 1073597647 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD. |
License Number: | 11231 |
Business Practice Address: | 111 Road Bo. Victoria Km.0.1 Hm. 0.1 Aguadilla, PR - 006039602 |
Business Phone Number: | 7878347186 |
Business Fax Number: | 7878825534 |
Mailing Address: | 15 Calle Los Adoquines, MAYAGUEZ |
State: | PR |
Postal Code: | 006801464 |
Phone Number: | 7878347186 |
Fax Number: | 7878347186 |
NPI Enumeration Date: | 12/06/2005 |
NPI Last Update Date: | 08/12/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 11231 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |