Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 17173 | NV |
N | 208600000X | Surgeon | 17173 | NV |
Y | 208200000X | Surgeon | ME139416 | FL |
Y | 208600000X | Surgeon | ME139416 | FL |
N | 2086S0102X | Surgical Critical Care | ME139416 | FL |
N | 2086S0127X | Trauma Surgeon | ME139416 | FL |
NPI | 1265708432 |
---|---|
Provider Name | Dr. Jorge Alberto Vega JR. |
First Address | Palm Beach Gardens, FL 33410-4361 |
Second Address | Palm Beach Gardens, FL 33410-4361 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/04/2012 |
Last Update Date | 25/10/2019 |