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VERONICA ALANA VESTAL MD
NPI 1437593100
Internal Medicine - Hematology & Oncology in Toa Baja, PR

Active since April 24, 2013PECOS EnrolledAccepts Medicare Assignment
7056 VIA PLAYERA, TOA BAJA, PR 00949(787) 533-1093 Get Directions Write a Review

NPPES record last updated: April 24, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 24, 2024, Apr 19, 2024, Jul 3, 2021 and 3 more (6 updates tracked since 2020).

About Veronica Alana Vestal Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VERONICA ALANA VESTAL MD (NPI 1437593100) is an individual hematology & oncology provider in Toa Baja, Puerto Rico, licensed in Maine (MD27963) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS, is affiliated with Gerald Champion Regional Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1437593100
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameVERONICA ALANA VESTALCredential: MD
Location Address7056 VIA PLAYERAToa Baja, PR 00949-4360
Mailing Address7056 Via PlayeraToa Baja, PR 00949-4360 · (787) 533-1093
Phone(787) 533-1093
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateApril 24, 2013
Last NPPES UpdateApril 24, 20246 updates tracked since enumeration
NPPES CertifiedApril 24, 2024
✔ NPI 1437593100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Licenses✔ Licensed in ME · MD27963✔ Licensed in PR · 21054
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedInternal MedicineTaxonomy 207R00000X · License 21054 (PR)

Secondary Practice Locations 3

Location 127 Industrial Ave Ste 101Sanford, ME 04073-5846 · Phone (207) 661-0200
Location 210 casia streetSAN JUAN, PR 00921 · Phone (787) 641-7582 ext. 13191 · Fax (787) 641-4561
Location 3Ave Jose Kiko CustodioSan Juan, PR 00927 · Phone (787) 936-1477

Other Identifiers 1

OtherM1971PR · Ptan

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Veronica Alana Vestal Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1658799853
PECOS Enrollment IDI20200921002507, I20250220001405
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Veronica Vestal reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Centro De Cancer De La Universidad
Hematology & Oncology
PR 21 INT PR18, BO MONACILLO
San Juan, PR 00927
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 87 clinicians in this Medicare group
NPI 1215418751 (787) 772-8300
Mainehealth
Internal Medicine
584 ROOSEVELT TRL
Windham, ME 04062
  • Reassigned Medicare billing, Maine enrollment
  • 3,140 clinicians in this Medicare group
NPI 1023321593 (207) 892-3233
Otero County Hospital Association
General Acute Care Hospital
2669 SCENIC DR
Alamogordo, NM 88310
  • Reassigned Medicare billing, New Mexico enrollment
  • 417 clinicians in this Medicare group
NPI 1861450579 (575) 439-6100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
47 services14 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
18 services16 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Gerald Champion Regional Medical Center

Acute Care Hospitals · Alamogordo, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320004
Location2669 Scenic DriveAlamogordo, NM 88310 · Otero County
Emergency services Birthing friendly

Hospital Del Centro Comprensivo De Cancer

Acute Care Hospitals · San Juan, PR
OwnershipGovernment - State
CMS Certification Number400135
LocationPr 21 Int Pr 18 Bo Monacillos UrbanoSan Juan, PR 00927 · San Juan County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00949 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$172.44 typical visit price
range $56.86 – $172.44
Typical copayment $43.11 (range $14.21 – $43.11)
Most-billed visit code 99205
Established Patient
$100.24 typical visit price
range $18.24 – $140.44
Typical copayment $25.06 (range $4.56 – $35.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Veronica Vestal's NPI number?

The NPI number for Veronica Vestal is 1437593100. It was assigned to this individual provider in the NPPES registry on April 24, 2013.

Where is Veronica Vestal located?

Veronica Vestal practices at 7056 Via Playera, Toa Baja, PR 00949. The listed phone number is (787) 533-1093.

What is Veronica Vestal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Veronica Vestal enrolled in Medicare?

Yes. Veronica Vestal is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Veronica Vestal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Veronica Vestal reassigns Medicare benefits to 3 organizations: Centro De Cancer De La Universidad (San Juan, PR), Mainehealth (Windham, ME) and Otero County Hospital Association (Alamogordo, NM). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Veronica Vestal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Veronica Vestal affiliated with any hospitals?

According to CMS data, Veronica Vestal is affiliated with Gerald Champion Regional Medical Center and Hospital Del Centro Comprensivo De Cancer.

When was this NPI record last updated?

The NPPES record for Veronica Vestal was last updated on April 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.