Organization
PERFORMANCE SPORTS MED LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEJANDRA E GONZALEZ VEGA M.D., CAQSM (PRESIDENT)
(787) 404-0909
Entity
Organization
Contact information
Practice address
351 AVE HOSTOS, SUITE 206, MAYAGUEZ, PR 00680
(787) 831-5831
(787) 827-8020
Mailing address
351 AVE HOSTOS, SUITE 206, MAYAGUEZ, PR 00680
(787) 831-5831
(787) 827-8020
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
Other
Enumeration date
06/18/2025
Last updated
06/18/2025
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