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General NPI Number Information
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NPI Number | 1376406306
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Entity Type | Organization
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Legal Business Name | YULMARY VEGA MEDICAL OFFICE LLC
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Dates
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Enumeration Date | 12/05/2025
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 56 CALLE MUNOZ RIVERA
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City | JUNCOS
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State | PR
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Zip | 00777-3338
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Country | US
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Telephone | 787-955-9850
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Fax | 787-734-4722
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Provider Business Mailing Address
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Address Line | PO BOX 628
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City | HATILLO
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State | PR
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Zip | 00659-0628
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Country | US
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Telephone | 787-955-9850
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Fax | 787-734-4722
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Authorized Official
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Title or Position | OWNER
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Name | YULMARY D VEGA
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Credential | MD
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Telephone | 787-955-9850
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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