Organization Active NPI

Army

  • Military Hospital
  • Evans, GA
National Provider Identifier
1093947780
Registry record updated Aug 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military HospitalTaxonomy code 286500000X
Legal business name
ARMY
Practice address
202 Vineyard Way
Apt. 601
Evans, GA 30809
Phone
(787) 914-6038
NPI assigned
Aug 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2009

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

Authorized official

Name
Javier M Vazquez-Ortiz, MD
Title
Pgy-1/Ty
Phone
(787) 914-6038

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military Hospital 286500000X Primary

Addresses

Primary practice location

202 Vineyard Way
Apt. 601
Evans, GA 30809

Mailing address

2020 Vineyard Way
Evans, GA 30809-9146
Phone (787) 914-6038

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1250208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250640000000",
    "number": "1093947780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 VINEYARD WAY",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308099146",
            "telephone_number": "787-914-6038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 VINEYARD WAY",
            "address_2": "APT. 601",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "30809",
            "telephone_number": "787-914-6038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-14",
        "last_updated": "2009-08-19",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ-ORTIZ",
        "authorized_official_first_name": "JAVIER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PGY-1/TY",
        "authorized_official_telephone_number": "787-914-6038",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "286500000X",
            "taxonomy_group": "",
            "desc": "Military Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evans, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2009; 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.