Individual provider Active NPI

Jose Luis Vazquez Cosme, RN, MSN,CNS

  • Emergency Registered Nurse
  • San Juan, PR
National Provider Identifier
1124871983
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Registered NurseTaxonomy code 163WE0003X
License
004442 Issued in PR
Practice address
Villa Palmeras 312
San Juan, PR 00915
Phone
(787) 945-9587
NPI assigned
Apr 10, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Registered Nurse 163WE0003X 004442 PR Primary

Addresses

Primary practice location

Villa Palmeras 312
San Juan, PR 00915

Mailing address

Villa Palmeras 312
San Juan, PR 00915
Phone (787) 945-9587

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
Certified Nurse Specialist, Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
004442PRMDEmergency Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1712707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1124871983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "VILLA PALMERAS 312",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00915",
            "telephone_number": "787-945-9587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VILLA PALMERAS 312",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00915",
            "telephone_number": "787-945-9587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ COSME",
        "first_name": "JOSE",
        "middle_name": "LUIS",
        "credential": "RN, MSN,CNS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-04-10",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "PR",
            "license": "004442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; 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.