Individual provider Active NPI

Gabriel A Vazquez Sr., 10263

  • Clinical Social Worker
  • Salinas, PR
National Provider Identifier
1215254487
Registry record updated Apr 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10263 Issued in PR
Practice address
Medical Services Solution Eai Corp
Box 2055
Salinas, PR 00751-2001
Phone
(787) 929-4556
NPI assigned
Apr 28, 2010
Last updated
Apr 28, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 10263 PR Primary

Addresses

Primary practice location

Medical Services Solution Eai Corp
Box 2055
Salinas, PR 00751-2001

Mailing address

Carr 151 Ram 562 Barrio Apeadero
HC 01 Box 3776
Villalba, PR 00766-9868
Phone (787) 612-3581

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10263PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Services Solutions Le CSP Past Accepting new patients

Organizations & group practices 1

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": "1272412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272412800000",
    "number": "1215254487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CARR 151 RAM 562 BARRIO APEADERO",
            "address_2": "HC 01 BOX 3776",
            "city": "VILLALBA",
            "state": "PR",
            "postal_code": "007669868",
            "telephone_number": "787-612-3581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MEDICAL SERVICES SOLUTION EAI CORP",
            "address_2": "BOX 2055",
            "city": "SALINAS",
            "state": "PR",
            "postal_code": "007512001",
            "telephone_number": "787-929-4556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ",
        "first_name": "GABRIEL",
        "middle_name": "A",
        "name_suffix": "Sr.",
        "credential": "10263",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-28",
        "last_updated": "2010-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "10263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2010; 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.