Jeniffer M. Vazquez Gonzalez

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1374 Issued in PR

Practice address

Calle Tortosa 193
Estancias Chalets Apt 1A1
San Juan, PR 00926-2372

Phone

(787) 313-0829

Fax

(787) 200-8030

NPI assigned

Jun 18, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Puerto Rico School of Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Prohealth Therapy & Sports Rehab, PSC

  • Multi-Specialty Clinic/Center
  • Aguada, PR
  • NPI 1578821542

  Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264723200000",
    "number": "1053516252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE TORTOSA 193",
            "address_2": "ESTANCIAS CHALETS APT 1",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009262372",
            "telephone_number": "787-313-0829",
            "fax_number": "787-200-8030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE TORTOSA 193",
            "address_2": "ESTANCIAS CHALETS APT 1A1",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009262372",
            "telephone_number": "787-313-0829",
            "fax_number": "787-200-8030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ GONZALEZ",
        "first_name": "JENIFFER",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-18",
        "last_updated": "2010-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PR",
            "license": "1374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daisy Vazquez Dubeau, M.D.
• Guillermo Jose Vazquez Fernandez
• Leslie A. Vazquez Garcia
• Betsy Vazquez Gomez, MD
• Carlos R. Vazquez Gonzalez, M.D.
• Lissandra Maria Vazquez Grillo
• Alondra Edithza Vazquez Hernandez
• Myrna Enid Vazquez Hernandez
• Lisandrie Marie Vazquez Lopez
• Natalia Vazquez Lopez, LPC

• Physical Therapist in San Juan, PR
• Providers in San Juan, PR by specialty
• Physical Therapist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.