Active NPI
Mariela Vazquez
- Pharmacist
- Corozal, PR
National Provider Identifier
1093052680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5526
- Practice address
- #1 San Manuel
Corozal, PR 00783 - Phone
- (787) 859-2729
- Fax
- (787) 801-4124
- NPI assigned
- Jan 16, 2013
- Last updated
- Jan 16, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5526 | PR | Primary |
Addresses
Primary practice location
#1 San Manuel
Corozal, PR 00783
Mailing address
1 Calle San Manuel
Corozal, PR 00783-2086
Phone (787) 859-2729
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5526 | Other | PR | PHARMACIST LICENSE |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jose a. Vazquez Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358294400000",
"number": "1093052680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CALLE SAN MANUEL",
"city": "COROZAL",
"state": "PR",
"postal_code": "007832086",
"telephone_number": "787-859-2729",
"fax_number": "787-802-4124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "#1 SAN MANUEL",
"city": "COROZAL",
"state": "PR",
"postal_code": "00783",
"telephone_number": "787-859-2729",
"fax_number": "787-801-4124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAZQUEZ",
"first_name": "MARIELA",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-16",
"last_updated": "2013-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "5526",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "5526",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Corozal, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.