Active NPIIndividual providerSole proprietor

Marilee A Tiru Vega

General Practice in Ponce, Puerto Rico

NPI Number1770115057
Practice location
4TA Ext El Monte, Cordova St C82, Ponce, PR 00730
Fax
—
Last updated
September 21, 2022

Marilee Alejandra Tiru Vega is a General Practice based in Ponce, PR. Marilee Alejandra Tiru Vega practices in Ponce, PR. The NPI Number for Marilee Alejandra Tiru Vega is 1770115057 and holds a License No. 6411627 (PR). The current practice location address for Marilee Alejandra Tiru Vega is 4TA Ext El Monte, Cordova St C82, Ponce, PR 00730 and can be reached out via phone at 787-407-0059.

Provider Profile Details

NPI Number
1770115057
Provider Name
Marilee Alejandra Tiru Vega
Provider Entity Type
Individual
Gender
Female
Address
4TA Ext El Monte, Cordova St C82, Ponce, PR 00730
Phone Number
787-407-0059
Primary Taxonomy
General Practice · 208D00000X
Sole Proprietor
Yes
Provider Enumeration Date
February 5, 2020
Last Update Date
September 21, 2022
Certification Date
September 21, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
4TA Ext El Monte
Cordova St C82
Ponce, PR 00730
City
Ponce
Zip
00730
Phone Number
787-407-0059
Ponce, PR 00730Get directions →

Provider Business Mailing Address Details

Address
Po Box 801426
Coto Laurel, PR 00780-1426
City
Coto Laurel
State
PR
Zip
00780-1426
Phone Number
787-407-0059

License Information

License Number (1)
6411627
License State (1)
PR
License Number (2)
36166
License State (2)
PR
Taxonomy (2)
General Practice · 208D00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Marilee A Tiru Vega?

The NPI number of Marilee A Tiru Vega is 1770115057. It was assigned on February 5, 2020 and is currently active in the NPPES registry.

What is the specialty of Marilee A Tiru Vega?

Marilee A Tiru Vega is registered under the primary taxonomy General Practice (code 208D00000X), licensed in PR under license number 6411627.

Where does Marilee A Tiru Vega practice?

The practice location is 4TA Ext El Monte, Cordova St C82, Ponce, PR 00730. The office can be reached at 787-407-0059 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1770115057 directly on the NPPES registry website.

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