Provider Demographics
NPI:1437043429
Name:VEGA, JORGE (PARAMEDIC)
Entity type:Individual
Prefix:
First Name:JORGE
Middle Name:
Last Name:VEGA
Suffix:
Gender:M
Credentials:PARAMEDIC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4772 E 8TH CT
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33013-2018
Mailing Address - Country:US
Mailing Address - Phone:305-505-1332
Mailing Address - Fax:
Practice Address - Street 1:4772 E 8TH CT
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33013-2018
Practice Address - Country:US
Practice Address - Phone:305-505-1332
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-05
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPMD541430146L00000X
VAE123081014146L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, Paramedic