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General NPI Number Information
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NPI Number | 1851219265
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Entity Type | Organization
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Legal Business Name | THALIA VEGA MD LLC
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Dates
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Enumeration Date | 07/06/2026
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Last Update Date | 07/06/2026
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Provider Practice Location Address
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Address Line | HCIENDAS DE SAN JOSE CALLE CENTRAL #9
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City | PONCE
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State | PR
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Zip | 00731-9610
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Country | US
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Telephone | 787-974-7022
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Fax |
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Provider Business Mailing Address
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Address Line | HC 6 BOX 2071
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City | PONCE
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State | PR
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Zip | 00731-9610
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Country | US
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Telephone | 787-974-7022
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DR. THALIA CRISTAL VEGA CARATTINI
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Credential | MD
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Telephone | 787-974-7022
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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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