YORDANIS RAFAEL FONSECA VEGA


Address: 12521 Nacogdoches Rd Ste 101, San Antonio, TX 78217-2117
Phone: 2106347814

YORDANIS RAFAEL FONSECA VEGA (NPI# 1801494554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801494554
Entity Type Individual
Full Name YORDANIS RAFAEL FONSECA VEGA
Practice Address 12521 Nacogdoches Rd Ste 101
San Antonio
TX 78217-2117
Mailing Address 1802 Purple Tansy
San Antonio
TX 78260-2442
Practice Telephone 2106347814
Mailing Telephone 5129097332
Enumeration Date 2020-10-14
Last Update Date 2020-10-14
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
1016853 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 12521 NACOGDOCHES RD STE 101
City SAN ANTONIO
State TX
Zip Code 78217-2117

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1255996815 Chelsey Lynn Guy Dental Hygienist 10231 Kotzebue St., San Antonio, TX 78217 2019-05-08
1972069144 Emma Getic Behavioral Analyst 2391 Ne Interstate 410 Loop, Suite #304, San Antonio, TX 78217 2019-02-13
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1033719521 Macy Atkins Nurse Practitioner 6676 Utsa Blvd, San Antonio, TX 78249-5100 2020-10-26
1255939237 Ashley Elizabeth Swartz Nurse Practitioner 9502 Huebner Rd Ste 101, San Antonio, TX 78240-1683 2020-10-13
1871190173 Cynthia B Elkins Nurse Practitioner 24806 Terlingua Bnd, San Antonio, TX 78261-2726 2020-10-08
1588270623 Amanda Razo Nurse Practitioner 6315 Welles Arbor Cir, San Antonio, TX 78240-2148 2020-09-23
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1033723655 Hira Mughal Nurse Practitioner 9850 Twinbear Crk, San Antonio, TX 78245-9596 2020-09-01
1366055675 Maria Christina Cruz Tijerina Nurse Practitioner 18518 Hardy Oak Blvd Apt 135, San Antonio, TX 78258-4759 2020-08-26
1225649593 Gina M Duron Nurse Practitioner 10730 Green Trail Dr, San Antonio, TX 78223-4224 2020-08-11
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Competitor

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City SAN ANTONIO
Zip Code 78217

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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