Humberto Vazquez, D.M.D., M.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

1166 Issued in PR

Practice address

Urb Mariani 1577 -Munoz Rivera Ave.
Suite 2
Ponce, PR 00717-0211

Phone

(787) 840-5515

NPI assigned

Mar 16, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367798400000",
    "number": "1003885401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 406",
            "city": "GUANICA",
            "state": "PR",
            "postal_code": "006530406",
            "telephone_number": "787-841-5515",
            "fax_number": "787-841-5515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB MARIANI 1577 -MUNOZ RIVERA AVE.",
            "address_2": "SUITE 2",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007170211",
            "telephone_number": "787-840-5515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ",
        "first_name": "HUMBERTO",
        "name_prefix": "Dr.",
        "credential": "D.M.D.,  M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2013-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PR",
            "license": "1166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE  S, INC.",
            "identifier": "41186",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Suzette Vazquez-Lloret
• Jose Bernardo Vazquez-Tanus, M.D.
• Carmen S Vazquez, RPH
• Elswee Luis Vazquez
• Francisco Torres Vazquez
• Jan Vazquez
• Jennifer M Vazquez
• Jovanna Yamitza Vazquez, RPHT
• Juan Carlos Vazquez, M.D.
• Lilliam Vazquez, B.S.N.

• Pediatric Dentistry in Ponce, PR
• Providers in Ponce, PR by specialty
• Pediatric Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.