PEVO PODIATRIC CORP – NPI #1376869412
Clinic/Center

PEVO PODIATRIC CORP is an AHC clinic located in VEGA ALTA, PR. NPPES has assigned the NPI number 1376869412 to PEVO PODIATRIC CORP on April 14, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QP1100X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Podiatric

The NPI profile was previously updated about 2 years ago on Apr 22, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PEVO PODIATRIC CORP below.

NPI Profile for
PEVO PODIATRIC CORP

NPI Number
1376869412
Enumeration Date

(more than 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PEVO PODIATRIC CORP
Primary location
CENTRO GRAN CARIBE CARRETERA #2 KM 29.7
SUITE 205
VEGA ALTA, PR 00692
Phone: (787) 883-4567 Fax: (787) 883-4567
1 Other location(s):
Corozal Shop Ctr Ste 206
Corozal, PR 00783-2409
Phone: (787) 883-4567
Fax: (787) 369-7768
Mailing address
PO BOX 631
VEGA ALTA, PR 00692-0631
Phone: (787) 883-4567 Fax: (787) 883-4567
Organization Subpart
No
Authorized Official
PABLO VEGA
OWNER
Phone: (787) 693-3990
Updated
Certification Date
Apr 22, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QP1100X
- Clinic/Center / Podiatric (Primary)		 PR 083

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.