Vega, Isaelisse M.

Vega, Isaelisse M. is an individual health care provider with primary practice located at 3049 Calle Novas Starlight, Ponce PR 00717-1476. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Vega, Isaelisse M. can be contacted via phone (787) 473-4451.

Contact Information

Primary practice address
3049 Calle Novas Starlight Ponce PR 00717-1476
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 12787 Puerto Rico

Profile Details

NPI number 1992177943
LBN Legal business name Vega, Isaelisse M.
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2015
Last updated Oct 28th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992177943 NPPES
Puerto Rico MEDICAID 4683690

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