Individual provider Active NPI

Nestor L Vazquez, MD

  • Ophthalmology Physician
  • Vega Baja, PR
National Provider Identifier
1184609901
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
14126 Issued in PR
Practice address
Suite 5 Plaza Las Vegas
PR 2 KM 39 HM 1
Vega Baja, PR 00693
Phone
(787) 807-1912
Fax
(787) 807-1953
NPI assigned
Dec 14, 2005
Last updated
Jan 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 14126 PR Primary

Addresses

Primary practice location

Suite 5 Plaza Las Vegas
PR 2 KM 39 HM 1
Vega Baja, PR 00693

Mailing address

200 Corredor de Los Papiros
Sabanera
Dorado, PR 00646-3474
Phone (787) 807-1912

Other identifiers 11

IdentifierTypeStateIssuer
4063OtherPRPMC MEDICARE CHOICE
602428OtherPRMMM
22553OtherPRMEDICARE OPTIMO (SSS)
660488412COtherPRMAPFRE
A522OtherPRIMC
2187OtherPRAMERICAN HEALTH
22553OtherPRSSS
22553OtherPRMEDICARE SELECTO (SSS)
22553OtherPRCCC (SSS)
9590217OtherPRHUMANA
100562OtherPRCRUZ AZUL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040929001039 PR Practitioner - Ophthalmology 8729057450 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Puerto Rico School of Medicine, 2004
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

200 Corredor de Los Papiros
Dorado, PR 00646-3474
Phone (787) 807-1912

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery53

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Phakos, PSC Ophthalmology CurrentSince Jan 1, 2001 Accepting new patients
Phakos, PSC CurrentSince Nov 14, 2015 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1184609901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORREDOR DE LOS PAPIROS",
            "address_2": "SABANERA",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006463474",
            "telephone_number": "787-807-1912",
            "fax_number": "787-807-1953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SUITE 5 PLAZA LAS VEGAS",
            "address_2": "PR 2 KM 39 HM 1",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "00693",
            "telephone_number": "787-807-1912",
            "fax_number": "787-807-1953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ",
        "first_name": "NESTOR",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PR",
            "license": "14126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PMC MEDICARE CHOICE",
            "identifier": "4063",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMM",
            "identifier": "602428",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE OPTIMO (SSS)",
            "identifier": "22553",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAPFRE",
            "identifier": "660488412C",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IMC",
            "identifier": "A522",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN HEALTH",
            "identifier": "2187",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSS",
            "identifier": "22553",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE SELECTO (SSS)",
            "identifier": "22553",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCC (SSS)",
            "identifier": "22553",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "9590217",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL",
            "identifier": "100562",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vega Baja, PR

Sources for this page

Verify at the official NPI Registry.