Individual provider Active NPI

Jose Roy Vazquez-Maldonado, M.D.

  • Psychiatry Physician
  • Catano, PR
National Provider Identifier
1104801273
Registry record updated Aug 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
12187 Issued in PR
Practice address
16 Calle Principal
Urb. Bay View
Catano, PR 00962-4269
Phone
(787) 404-1668
NPI assigned
Dec 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 12187 PR Primary

Addresses

Primary practice location

16 Calle Principal
Urb. Bay View
Catano, PR 00962-4269

Mailing address

Paseo Real
Zafiro D 54
Dorado, PR 00646
Phone (787) 404-1668

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060609000197 PR Practitioner - Psychiatry 8022020015 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Administracion de Servicios de Salud Mental Y Contra la Adiccion CurrentSince Jan 1, 2021 Accepting new patients
Administracion de Servicios de Salud Mental Y Contra la Adiccion CurrentSince Jan 1, 2021 Accepting new patients
Inspira Behavioral Care Corp. Past Accepting new patients
Inspira Psychiatric Services PSC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jose.vazquezmaldonado.p1@direct.vitacare.nextgenshare.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408406400000",
    "number": "1104801273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PASEO REAL",
            "address_2": "ZAFIRO D 54",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "00646",
            "telephone_number": "787-404-1668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 CALLE PRINCIPAL",
            "address_2": "URB. BAY VIEW",
            "city": "CATANO",
            "state": "PR",
            "postal_code": "009624269",
            "telephone_number": "787-404-1668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ-MALDONADO",
        "first_name": "JOSE",
        "middle_name": "ROY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2014-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PR",
            "license": "12187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Catano, PR

Sources for this page

Verify at the official NPI Registry.