Provider Demographics
NPI:1386714251
Name:VEGA, RICARDO (MD)
Entity type:Individual
Prefix:DR
First Name:RICARDO
Middle Name:
Last Name:VEGA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3011 PLAZA PLAYERA
Mailing Address - Street 2:CAMINO DEL MAR
Mailing Address - City:TOA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00949-4368
Mailing Address - Country:US
Mailing Address - Phone:787-261-5034
Mailing Address - Fax:787-795-1905
Practice Address - Street 1:CIM II CARR 165 #90
Practice Address - Street 2:SUITE 303
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00968
Practice Address - Country:US
Practice Address - Phone:787-277-1166
Practice Address - Fax:787-277-1166
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2009-07-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PR88072083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine