Juan M. Vazquez, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

309 Issued in PR

Practice address

C22 Ave Gautier Benitez
Consolidated Mall Suit 34
Caguas, PR 00725-9192

Phone

(787) 744-2821

Fax

(787) 957-8680

NPI assigned

Apr 26, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Le Petit Vision Center LLC

  • Eyewear Supplier
  • Caguas, PR
  • NPI 1881231546
  Medicare reassignment NPD Authorized official
• Le Petit Vision Center

  • Medical Specialty Clinic/Center
  • Caguas, PR
  • NPI 1235303546
  NPD (past) Authorized official

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1144287129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "C22 AVE GAUTIER BENITEZ",
            "address_2": "CONSOLIDATED MALL SUIT 34",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007259192",
            "telephone_number": "787-744-2821",
            "fax_number": "787-957-8680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "C22 AVE GAUTIER BENITEZ",
            "address_2": "CONSOLIDATED MALL SUIT 34",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007259192",
            "telephone_number": "787-744-2821",
            "fax_number": "787-957-8680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ",
        "first_name": "JUAN",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amelia Edmee Vazquez
• Axel Manuel Vazquez, RPH
• Bethzaida Vazquez
• Francisco Javier Vazquez, M.D.
• Irving Vazquez, CPHT
• Julio C Vazquez, DMD
• Lillian Vazquez
• Monica Dionne Vazquez, MONICA VAZQUEZ,PH.D.
• Natividad Vazquez
• Vanessa Yadira Vazquez, RPT

• Optometrist in Caguas, PR
• Providers in Caguas, PR by specialty
• Optometrist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.