MEDICARE: DR. WILLIAM VEGA-OCASIO M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RN0300X	Nephrology Physician	14673	PR

General Provider Information

NPI Number	:	1598750317
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM VEGA-OCASIO M.D.

Provider Business Mailing Address
First Line	:	PO BOX 372647
Second Line	:
City	:	CAYEY
State	:	PR
Zip	:	00737-2647
Country	:	US
Telephone Number	:	787-607-2079
Fax Number	:	787-263-0987

Provider Business Practice Location Address
First Line	:	4 CALLE H MENDOZA E
Second Line	:	HOSPITAL GENERAL MENONITA CAYEY, SUITE 206
City	:	CAYEY
State	:	PR
Zip	:	00736-3801
Country	:	US
Telephone Number	:	787-263-6007
Fax Number	:	787-535-1036

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/19/2005
Last Update Date	:	01/19/2010

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