DR. ELISA CRUZ VEGERANO (M.D.) – Family Medicine Physician, NPI 1609850502

DR. ELISA CRUZ VEGERANO (M.D.) is a healthcare provider. based in St augustine, Florida. specializing in Family Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 12991 (PR). The NPI Number for DR. ELISA CRUZ VEGERANO (M.D.) is 1609850502

Main info

Female
Sole Proprietor
Name
DR. ELISA CRUZ VEGERANO (M.D.)
NPI
1609850502
Phone
(787) 667-0175
Address
220 PRESIDENTS CUP WAY
Enumeration Date
5 December 2005
Last Update Date
24 September 2015
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for DR. ELISA CRUZ VEGERANO (M.D.)

  • 220 PRESIDENTS CUP WAY

    UNIT 201

    ST AUGUSTINE, FL 320923728

    Phone: (787) 667-0175

    Fax: (787) 667-0175

    Type: Mailing

  • 195 SOUTH PARK BLVD

    ST. AUGUSTINE, FL 32086

    Phone: (904) 829-0814

    Fax: (904) 829-0814

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-08-30

PECOS data refreshed: 2026-05-27

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32092)

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Reviews

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Frequently asked questions

Can I use this page to confirm DR. ELISA CRUZ VEGERANO (M.D.)'s NPI?
Yes. DR. ELISA CRUZ VEGERANO (M.D.) is listed with NPI 1609850502 in the public NPI dataset.
Does the file indicate DR. ELISA CRUZ VEGERANO (M.D.) is practicing under active NPI?
Directory data currently reports DR. ELISA CRUZ VEGERANO (M.D.) as active.
What taxonomy line describes DR. ELISA CRUZ VEGERANO (M.D.)?
For research purposes, treat DR. ELISA CRUZ VEGERANO (M.D.) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect DR. ELISA CRUZ VEGERANO (M.D.) on a map?
Expect St Augustine, Florida as a primary anchor for DR. ELISA CRUZ VEGERANO (M.D.) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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