Active NPI
Luis Javier Garrastegui- Vazquez, MD
- General Practice Physician
- Mayaguez, PR
National Provider Identifier
1093514168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 24236
- Practice address
- 14 Calle Peral N Ste 3D
Mayaguez, PR 00680-4876 - Phone
- (407) 770-4960
- NPI assigned
- Mar 11, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 24236 | PR | Primary |
Addresses
Primary practice location
14 Calle Peral N Ste 3D
Mayaguez, PR 00680-4876
Mailing address
PO Box 382
Arecibo, PR 00613-0382
Phone (407) 770-4960
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
| License | State | Type | Specialty |
|---|---|---|---|
| 24236 | PR | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741737600000",
"number": "1093514168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 382",
"city": "ARECIBO",
"state": "PR",
"postal_code": "006130382",
"telephone_number": "407-770-4960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 CALLE PERAL N STE 3D",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006804876",
"telephone_number": "407-770-4960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARRASTEGUI- VAZQUEZ",
"first_name": "LUIS",
"middle_name": "JAVIER",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-03-11",
"last_updated": "2025-03-12",
"certification_date": "2025-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "24236",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mayaguez, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.