| Doctor Name: | MARIEL VEGA |
| NPI Number: | 1518266311 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S. S.L.P. |
| License Number: | 618 |
| Business Practice Address: | Urbanizacion Fair View Marginal Calle 2 D-4 Trujillo Alto, PR - 00976 |
| Business Phone Number: | 7872047515 |
| Business Fax Number: | |
| Mailing Address: | Calle Atenas 1300 Urbanizacion Monte Atenas, Apt. 307 SAN JUAN |
| State: | PR |
| Postal Code: | 00926 |
| Phone Number: | 7872047514 |
| Fax Number: | |
| NPI Enumeration Date: | 03/18/2011 |
| NPI Last Update Date: | 03/18/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 618 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |