Individual provider Active NPI

Natalia L Rodriguez Vazquez, MD

  • Neurology with Special Qualifications in Child Neurology Physician
  • San Juan, PR
National Provider Identifier
1013399138
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
19897 Issued in PR
Practice address
715 Ave Ponce de Leon Parada 37.5
Clinicas Subespecialiistas Pediatricas Piso 1
San Juan, PR 00917-5032
Phone
(787) 758-2000
NPI assigned
Jun 25, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 19897 PR
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 19897 PR Primary

Addresses

Primary practice location

715 Ave Ponce de Leon Parada 37.5
Clinicas Subespecialiistas Pediatricas Piso 1
San Juan, PR 00917-5032

Mailing address

PO Box 353
San Lorenzo, PR 00754-0353
Phone (787) 758-2000

Other practice location 1

Metro Plaza Caguas Lote L-32
Ave Jose Garrido Villa Blanca Park
Caguas, PR 00725-1943
Phone (787) 746-3848

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
19897PRMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
NRV Neuropeds LLC Neurology With Special Qualifications in Child Neurology CurrentSince Nov 1, 2021 Accepting new patients
VD Allergy Institute LLC. Past Accepting new patients

Locations

715 Ave Ponce de Leon
#375
San Juan, PR 00917
Phone (787) 504-1100

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1435190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1013399138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 353",
            "city": "SAN LORENZO",
            "state": "PR",
            "postal_code": "007540353",
            "telephone_number": "787-758-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 AVE PONCE DE LEON PARADA 37.5",
            "address_2": "CLINICAS SUBESPECIALIISTAS PEDIATRICAS PISO 1",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009175032",
            "telephone_number": "787-758-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Metro Plaza Caguas Lote L-32",
            "address_2": "Ave Jose Garrido Villa Blanca Park",
            "address_purpose": "LOCATION",
            "city": "Caguas",
            "state": "PR",
            "postal_code": "007251943",
            "country_code": "US",
            "telephone_number": "787-746-3848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ VAZQUEZ",
        "first_name": "NATALIA",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-25",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "19897",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "PR",
            "license": "19897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.