Individual
YULMARY VEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
CALLE ESCUTE NUM 27, JUNCOS, PR 00777-0000
(787) 734-4722
(787) 734-4722
Mailing address
CALLE ZORZAL NUM 2, URB VALLE SANTA BARBARA, GURABO, PR 00778-0000
(787) 734-4722
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
15086
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201122
PREFERRED HEALTH
PR
01
—
22125
TRIPLE S
PR
01
—
37641
PROSSAM
PR
01
—
400236
MEDICARE Y MUCHO MAS
PR
01
—
7770030
HUMANA HEALTH PLAN
PR
01
—
P00171352
PALMETTO
GA
01
—
P643
FIRST MEDICAL
PR
01
—
PG4633
PALIC PROVIDER
PR
Enumeration date
06/09/2006
Last updated
10/10/2012
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