MEDICARE: MEY-LING VEGA M.S.O.T.L.

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	225X00000X	Occupational Therapist	1077	PR

General Provider Information

NPI Number	:	1992902365
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEY-LING VEGA M.S.O.T.L.

Provider Business Mailing Address
First Line	:	D8 CALLE C
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00926-3481
Country	:	US
Telephone Number	:	787-922-2951
Fax Number	:

Provider Business Practice Location Address
First Line	:	1735 CARR 844
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00926-4446
Country	:	US
Telephone Number	:	787-647-1266
Fax Number	:

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

Provider Enumeration Date	:	06/29/2007
Last Update Date	:	12/16/2024

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