Provider Demographics
NPI:1407744857
Name:VEGA, GERALINE N (RN, MSN, EDD)
Entity type:Individual
Prefix:
First Name:GERALINE
Middle Name:N
Last Name:VEGA
Suffix:
Gender:F
Credentials:RN, MSN, EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB. QUINTAS CANOVANAS
Mailing Address - Street 2:CALLE 2, NUM 227
Mailing Address - City:CANOVANAS
Mailing Address - State:PR
Mailing Address - Zip Code:00729
Mailing Address - Country:US
Mailing Address - Phone:787-907-0360
Mailing Address - Fax:
Practice Address - Street 1:URB. QUINTAS CANOVANAS
Practice Address - Street 2:CALLE 2, NUM 227
Practice Address - City:CANOVANAS
Practice Address - State:PR
Practice Address - Zip Code:00729
Practice Address - Country:US
Practice Address - Phone:787-907-0360
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-25
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR003193163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator