Doctor Name: | MS. MARITZA VEGA |
NPI Number: | 1093796831 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 17590 |
Business Practice Address: | Avenue 65 Infanteria Km 3.4 Bo. Sabana Llana Rio Piedras, PR - 00924 |
Business Phone Number: | 7877677676 |
Business Fax Number: | 7877649124 |
Mailing Address: | Po Box 810202, CAROLINA |
State: | PR |
Postal Code: | 009810202 |
Phone Number: | 7877677676 |
Fax Number: | 7877649124 |
NPI Enumeration Date: | 11/09/2005 |
NPI Last Update Date: | 06/23/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WG0000X |
License Number: | 17590 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | General Practice |
Taxonomy Definition: |