Individual provider Active NPI

Nilka Vazquez Lopez, M.D

  • General Practice Physician
  • Bayamon, PR
National Provider Identifier
1184927469
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
18105 Issued in PR
Practice address
Calle 24
Bloq. 50 #3 Urb. Santa Rosa
Bayamon, PR 00956-6932
Phone
(787) 633-6979
NPI assigned
Dec 8, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 18105 PR Primary

Addresses

Primary practice location

Calle 24
Bloq. 50 #3 Urb. Santa Rosa
Bayamon, PR 00956-6932

Mailing address

24 Street 50 #3
Urbanizacion Santa Rosa
Bayamon, PR 00959-6815
Phone (787) 633-6979

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
I20110713000256 PR Practitioner - General Practice 7416125786 Practice locations: Bayamon, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Bo Santa Olaya
Carr 829 KM 10.8
Bayamon, PR 00956
Phone (787) 279-8686

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1291766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1184927469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 STREET 50 #3",
            "address_2": "URBANIZACION SANTA ROSA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009596815",
            "telephone_number": "787-633-6979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE 24",
            "address_2": "BLOQ. 50 #3 URB. SANTA ROSA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009566932",
            "telephone_number": "787-633-6979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ LOPEZ",
        "first_name": "NILKA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-08",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "18105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.