Doctor Name: | NELIA YEJO VEGA |
NPI Number: | 1891770129 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 14509 |
Business Practice Address: | Calle 3 Num 80 Sur Southern Medical Plaza Guayama, PR - 00785 |
Business Phone Number: | 7878661212 |
Business Fax Number: | 7878663322 |
Mailing Address: | Po Box 1805, GUAYAMA |
State: | PR |
Postal Code: | 00785 |
Phone Number: | 7878661212 |
Fax Number: | 7878663322 |
NPI Enumeration Date: | 12/09/2005 |
NPI Last Update Date: | 09/16/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 14509 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |