Provider Demographics
NPI:1992946107
Name:VEGA PEREZ, OSMANY (BS)
Entity type:Individual
Prefix:
First Name:OSMANY
Middle Name:
Last Name:VEGA PEREZ
Suffix:
Gender:M
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1651 W 37TH ST STE 404
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-4692
Mailing Address - Country:US
Mailing Address - Phone:305-960-7113
Mailing Address - Fax:305-960-7654
Practice Address - Street 1:1651 W 37TH ST STE 404
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-4692
Practice Address - Country:US
Practice Address - Phone:305-960-7113
Practice Address - Fax:305-960-7654
Is Sole Proprietor?:No
Enumeration Date:2009-03-18
Last Update Date:2017-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator