MEDICARE: DR. SERAFIN ORENGO-VEGA MD

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	2084P0804X	Child & Adolescent Psychiatry Physician	9272	PR

General Provider Information

NPI Number	:	1982745113
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SERAFIN ORENGO-VEGA MD

Provider Business Mailing Address
First Line	:	500 CALLE MANUEL DOMENECH STE 602
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00918-3709
Country	:	US
Telephone Number	:	787-396-9699
Fax Number	:	787-625-9699

Provider Business Practice Location Address
First Line	:	500 CALLE MANUEL DOMENECH STE 602
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00918-3709
Country	:	US
Telephone Number	:	787-396-9699
Fax Number	:	787-625-9699

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

Provider Enumeration Date	:	02/09/2007
Last Update Date	:	12/19/2024

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