Active NPI
Eduardo Gomez-Vazquez, M.D.
- Family Medicine Physician
- Laredo, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- J4159
- Practice address
- 7210 McPherson Rd
Suite #115
Laredo, TX 78041-6507 - Phone
- (956) 722-8046
- Fax
- (956) 722-8047
- NPI assigned
- Dec 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | J4159 | TX | Primary |
Addresses
Primary practice location
7210 McPherson Rd
Suite #115
Laredo, TX 78041-6507
Mailing address
7215 McPherson Rd
Suite #115
Laredo, TX 78041-6554
Phone (956) 608-4500
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| J4159 | Other | TX | TEXAS PHYSICIAN PERMIT |
| 00087560 | Other | TX | DPS REGISTRATION NUMBER |
| 118616503 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111212000531 | TX | Practitioner - Family Practice | 1456254002 |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Texas Medical School at San Antonio, 1992
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
502 S Closner Blvd
Edinburg, TX 78539-4660
7215 McPherson Rd
Laredo, TX 78041-6554
Hospital & facility affiliations
- Healing Hands Home Health Care LLC
- Superior Nursing Care
- Doctors Hospital of Laredo
- Laredo Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Laredo Premier Healthcare, PLLC | Family Medicine | Current | Accepting new patients |
| South Texas Physician Partners PLLC | Family Medicine | Current | Accepting new patients |
| Monzer H Yazji MD & Associates PLLC | Family Medicine | Current | Accepting new patients |
Locations
502 S Closner Blvd
Edinburg, TX 78539
Phone (956) 292-0100
7215 McPherson Rd
Ste 115
Laredo, TX 78041
7215 McPherson Rd
Laredo, TX 78041
Phone (956) 608-4500
7210 McPherson Rd
Ste 115
Laredo, TX 78041
Phone (956) 722-8046
5201 N 10th St
McAllen, TX 78504
Phone (956) 631-5411
Interoperability endpoints
- eduardo.gomez-vazquez.1@33464.direct.athenahealth.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Laredo, TX
- NPI 1467833509
-
- Internal Medicine Physician
- Edinburg, TX
- NPI 1073508545
Family Medicine
-
- Internal Medicine Physician
- Mission, TX
- NPI 1801580097
Family Medicine
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Laredo, TX
- NPI 1396731105
-
- Home Health Registered Nurse
- Laredo, TX
- NPI 1467406686
Home health agency
-
- Home Health Agency
- Laredo, TX
- NPI 1912175902
-
- General Acute Care Hospital
- Laredo, TX
- NPI 1548232044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485129600000",
"number": "1013076058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7215 MCPHERSON RD",
"address_2": "SUITE #115",
"city": "LAREDO",
"state": "TX",
"postal_code": "780416554",
"telephone_number": "956-608-4500",
"fax_number": "956-608-4501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7210 MCPHERSON RD",
"address_2": "SUITE #115",
"city": "LAREDO",
"state": "TX",
"postal_code": "780416507",
"telephone_number": "956-722-8046",
"fax_number": "956-722-8047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ-VAZQUEZ",
"first_name": "EDUARDO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-06",
"last_updated": "2017-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "J4159",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS PHYSICIAN PERMIT",
"identifier": "J4159",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DPS REGISTRATION NUMBER",
"identifier": "00087560",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "118616503",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Laredo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.