Individual
DR. HUMBERTO VEGA RIVERA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
CALLE ANTONIO R BARCELO, #15, CIDRA, PR 00739
(787) 739-3169
(787) 739-3169
Mailing address
PO BOX 168, CIDRA, PR 00739-0168
(787) 739-3169
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
940
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040414
CRUZ AZUL
—
01
—
206368
PREFERRED
—
01
—
4-0880VE
TRIPLE S
—
01
—
739-0007
HUMANA
—
Enumeration date
08/16/2005
Last updated
07/08/2007
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