Active NPI
Army
- Military Hospital
- Evans, GA
National Provider Identifier
1093947780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Military Hospital
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.