Marely Santiago Vazquez, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

21880 Issued in PR

Practice address

Dermagallery
Cond Palmanova Plaza Apt C 120
Palmas del Mar, Humacao, PR 00791-0079

Phone

(787) 718-7144

NPI assigned

Sep 1, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Dermatology

Education

University of Puerto Rico School of Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Recinto de Ciencias MedicasGroup PAC ID 3678469962, 246 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• MSV Dermatology

  dba Marely Santiago Vazquez, MD

  • Dermatology Physician
  • Palmas del Mar, Humacao, PR
  • NPI 1609515147
  Medicare reassignment NPD Authorized official
• Recinto de Ciencias Medicas

  dba Recinto de Ciencias Medicas-Dermatologia

  • Dermatology Physician
  • San Juan, PR
  • NPI 1295760676
  Medicare reassignment Care Compare group NPD
• Recinto de Ciencias Medicas

  dba Cirugia Colorrectal RCM

  • Colon & Rectal Surgery Physician
  • San Juan, PR
  • NPI 1538935051
  NPD
• Centro Dermatologico San Pablo, PSC

  • Dermatology Physician
  • Bayamon, PR
  • NPI 1194704882
  NPD (past)
• Recinto de Ciencias Medicas

  dba Recinto de Ciencias Medicas (Alergia e Inmunologia RCM)

  • Allergy & Immunology Physician
  • San Juan, PR
  • NPI 1184804361
  NPD (past)

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1144776865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PLAZA ONCE H20",
            "address_2": "CAMBRIDGE PARK",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009261452",
            "telephone_number": "787-237-5414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DERMAGALLERY",
            "address_2": "COND PALMANOVA PLAZA APT C 120",
            "city": "PALMAS DEL MAR, HUMACAO",
            "state": "PR",
            "postal_code": "007910079",
            "telephone_number": "787-718-7144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Carretera 185 Plaza Rial Mall 5-A",
            "address_purpose": "LOCATION",
            "city": "Canovanas",
            "state": "PR",
            "postal_code": "00729",
            "country_code": "US",
            "telephone_number": "787-998-9725",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Nova Derm",
            "address_2": "venida Comandante Esq. Campo Rico PQ #26",
            "address_purpose": "LOCATION",
            "city": "Carolina",
            "state": "PR",
            "postal_code": "00987",
            "country_code": "US",
            "telephone_number": "787-752-3280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTIAGO VAZQUEZ",
        "first_name": "MARELY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PR",
            "license": "21880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1144776865",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LIC",
            "identifier": "21880",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• MSV Dermatology (Marely Santiago Vazquez, MD)

• Dermatology Physician in Palmas del Mar, Humacao, PR
• Providers in Palmas del Mar, Humacao, PR by specialty
• Dermatology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; 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.

Verify at the official NPI Registry.