| Doctor Name: | JUAN A SIERRA VEGA |
| NPI Number: | 1255589024 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | TC AMB 402 |
| Business Practice Address: | Carretera 110 Km 20 0 Bo Centro Moca, PR - 00676 |
| Business Phone Number: | 7878822371 |
| Business Fax Number: | |
| Mailing Address: | Po Box 1777, ISABELA |
| State: | PR |
| Postal Code: | 00662 |
| Phone Number: | 7878822371 |
| Fax Number: | |
| NPI Enumeration Date: | 09/04/2008 |
| NPI Last Update Date: | 05/03/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | TC AMB 402 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |