Provider Demographics
NPI:1144311838
Name:PACHECO-VEGA, ANGEL A (MD)
Entity type:Individual
Prefix:MR
First Name:ANGEL
Middle Name:A
Last Name:PACHECO-VEGA
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Gender:M
Credentials:MD
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Mailing Address - Street 1:758 CATETAL ST
Mailing Address - Street 2:HACIENDAS CONSTANCIA
Mailing Address - City:HORMIGUEROS
Mailing Address - State:PR
Mailing Address - Zip Code:00660
Mailing Address - Country:US
Mailing Address - Phone:787-833-3096
Mailing Address - Fax:787-833-3096
Practice Address - Street 1:27 NELSON PEREA ST
Practice Address - Street 2:SUITE 203 DOCTORS CENTER
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680
Practice Address - Country:US
Practice Address - Phone:787-833-3096
Practice Address - Fax:787-833-3096
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2025-03-31
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Provider Licenses
StateLicense IDTaxonomies
PR13076208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR13076OtherSTATE LICENSE