Provider Demographics
NPI:1992870513
Name:VEGA TORRES, VICTOR M (OWNER)
Entity type:Individual
Prefix:
First Name:VICTOR
Middle Name:M
Last Name:VEGA TORRES
Suffix:
Gender:M
Credentials:OWNER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:535 CALLE JUAN RODRIGUEZ
Mailing Address - Street 2:
Mailing Address - City:PENUELAS
Mailing Address - State:PR
Mailing Address - Zip Code:00624-1804
Mailing Address - Country:US
Mailing Address - Phone:787-836-7700
Mailing Address - Fax:
Practice Address - Street 1:CARRETERA 385 KM 0.5 BO CUEVAS
Practice Address - Street 2:
Practice Address - City:PENUELAS
Practice Address - State:PR
Practice Address - Zip Code:00624
Practice Address - Country:US
Practice Address - Phone:787-836-7700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-21
Last Update Date:2013-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport