Individual provider · Type 1 NPI
Marilee Alejandra Tiru Vega
General Practice Physician · Ponce, PR
NPI number
1770115057
Active
Practice location
4TA Ext El Monte, Cordova St C82
Ponce, PR 00730
Mailing address
PO Box 801426
Coto Laurel, PR 00780-1426
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 6411627 (PR) |
| General Practice Physician Primary | 208D00000X | 36166 (PR) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1770115057
Marilee Alejandra Tiru Vega's National Provider Identifier is 1770115057, issued on Feb 5, 2020. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Ponce, PR. The record was last updated on Sep 21, 2022.