Dr. Luis Guillermo De Jesus III Vega, MD
Physician Assistant in Bayamon, PR. Individual provider (NPI-1).
NPI number1497659502
StatusActive
Last updated in NPPESOct 5, 2026
Details
- NPI
- 1497659502
- Entity type
- Individual (NPI-1)
- Name
- Dr. Luis Guillermo De Jesus III Vega
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 5, 2026
- Certification date
- Oct 5, 2026
- Last updated
- Oct 5, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 003239 | PR | Yes |
Practice location
81-37 Calle 68Bayamon, PR 00961-4522
Phone 939-401-4401
Mailing address
158 Ave CampobelloCidra, PR 00739-1579
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