| Doctor Name: | DR. MANUEL ANGEL VEGA CAMIS |
| NPI Number: | 1104803600 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 15450 |
| Business Practice Address: | Carr 183 Km 10.4 Local 102 Edificio Diaz Bretana Salida Las Piedras San Lorenzo, PR - 007540000 |
| Business Phone Number: | 7872263042 |
| Business Fax Number: | |
| Mailing Address: | 211 Calle Esparta, Urb. Olympic Court LAS PIEDRAS |
| State: | PR |
| Postal Code: | 007710000 |
| Phone Number: | 7872263042 |
| Fax Number: | |
| NPI Enumeration Date: | 12/27/2005 |
| NPI Last Update Date: | 10/20/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 15450 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |