Healthcare Provider Details

I. General information

NPI: 1255562799
Provider Name (Legal Business Name): MONICA VEGA VAZQUEZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/31/2009
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

423 MARGINAL AGUEYBANA AVE LUIS MUNOZ RIVERA
SAN JUAN PR
00918-5067
US

IV. Provider business mailing address

46 CALLE GUAYABO
GUAYNABO PR
00971-4001
US

V. Phone/Fax

Practice location:
  • Phone: 787-943-6983
  • Fax:
Mailing address:
  • Phone: 787-662-2423
  • Fax: 772-610-6942

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number18482
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number18482
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: