Active NPI
Juan Antonio Perez Vazquez Jr., MD
- General Practice Physician
- Vega Baja, PR
National Provider Identifier
1114090024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 6765
- Practice address
- 46 JJ Acosta
Vega Baja, PR 00693 - Phone
- (787) 858-6208
- Fax
- (787) 858-6208
- NPI assigned
- Nov 16, 2006
- Last updated
- Oct 30, 2012
- Sex
- Male
- Sole proprietor
- No
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 | 6765 | PR | Primary |
Addresses
Primary practice location
46 JJ Acosta
Vega Baja, PR 00693
Mailing address
PO Box 4644
Vega Baja, PR 00694-4644
Phone (787) 858-6208
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131210001427 | PR | Practitioner - General Practice | 2769621952 | Practice locations: Vega Baja, PR |
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4 Calle Padilla Davila
Vega Baja, PR 00693-4379
Phone (787) 858-6208
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351555200000",
"number": "1114090024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4644",
"city": "VEGA BAJA",
"state": "PR",
"postal_code": "006944644",
"telephone_number": "787-858-6208",
"fax_number": "787-858-6208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46 JJ ACOSTA",
"city": "VEGA BAJA",
"state": "PR",
"postal_code": "00693",
"telephone_number": "787-858-6208",
"fax_number": "787-858-6208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ VAZQUEZ",
"first_name": "JUAN",
"middle_name": "ANTONIO",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-16",
"last_updated": "2012-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "6765",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vega Baja, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.