Individual provider Active NPI

Lilliana Morales-Vasquez, M.D.

  • Gastroenterology Physician
  • San Juan, PR
National Provider Identifier
1215130588
Registry record updated Jul 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
17493 Issued in PR
Practice address
1449 Calle Americo Salas Ste 103
San Juan, PR 00909-2104
Phone
(787) 722-1717
Fax
(787) 723-1595
NPI assigned
Jun 6, 2007
Last updated
Jul 3, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 17493 PR
Gastroenterology Physician 207RG0100X 17493 PR Primary

Addresses

Primary practice location

1449 Calle Americo Salas Ste 103
San Juan, PR 00909-2104

Mailing address

PO Box 16598
San Juan, PR 00908-6598
Phone (787) 525-6075

Other names 1

  • Dr. Lilliana Morales-Vazquez Other name

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
I20120418000231 PR Practitioner - GastroenterologyPractitioner - Internal Medicine 2163683194 Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
University of Puerto Rico School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1449 Americo Salas
Suite 103
San Juan, PR 00909-2104
Phone (787) 722-1717

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy36
Upper gastrointestinal (GI) endoscopy for acid reflux32

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17493PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
LMV Gastroenterology PSC Gastroenterology Past Accepting new patients
Nova Gi LLC Gastroenterology Past 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341273600000",
    "number": "1215130588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16598",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009086598",
            "telephone_number": "787-525-6075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1449 CALLE AMERICO SALAS STE 103",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009092104",
            "telephone_number": "787-722-1717",
            "fax_number": "787-723-1595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORALES-VASQUEZ",
        "first_name": "LILLIANA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-06",
        "last_updated": "2012-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "17493",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PR",
            "license": "17493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LILLIANA",
            "last_name": "MORALES-VAZQUEZ",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.