Individual
ISAELISSE M. VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
3049 CALLE NOVAS, STARLIGHT, PONCE, PR 00717-1476
(787) 473-4451
Mailing address
STARLIGHT 3049 NOVAS, PONCE, PUERTO RICO 00717
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12787
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4683690
—
PR
Enumeration date
10/28/2015
Last updated
10/28/2015
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