Healthcare Provider Details

I. General information

NPI: 1831025584
Provider Name (Legal Business Name): MARIA ALEXANDRA VEGA PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 1419
SAN GERMAN PR
00683-1419
US

IV. Provider business mailing address

PO BOX 2987
SAN GERMAN PR
00683-2987
US

V. Phone/Fax

Practice location:
  • Phone: 787-892-3333
  • Fax:
Mailing address:
  • Phone: 939-344-7436
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number7482
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: