Myrna Enid Vazquez Hernandez

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

024501 Issued in PR

Practice address

735 Ave Ponce de Leon
San Juan, PR 00917-5022

Phone

(787) 299-4124

NPI assigned

Apr 25, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1714003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1184470627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB LAS BRISAS 126 CALLE 3",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006125702",
            "telephone_number": "787-299-4124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 AVE PONCE DE LEON",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009175022",
            "telephone_number": "787-299-4124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ HERNANDEZ",
        "first_name": "MYRNA",
        "middle_name": "ENID",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-25",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PR",
            "license": "16927-I",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "024501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Betsy Vazquez Gomez, MD
• Carlos R. Vazquez Gonzalez, M.D.
• Jeniffer M. Vazquez Gonzalez
• Lissandra Maria Vazquez Grillo
• Alondra Edithza Vazquez Hernandez
• Lisandrie Marie Vazquez Lopez
• Natalia Vazquez Lopez, LPC
• Blanca Vazquez Marrero
• Yarimer Vazquez Martinez
• Adriana Sofia Vazquez Medina

• General Practice Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; 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.