Individual provider Active NPI

Edward Arthur Miller Vazquez

  • Family Medicine Physician
  • Manati, PR
National Provider Identifier
1235820127
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
24362 Issued in PR
Practice address
Calle Hernandez Carrion
1142
Manati, PR 00674
Phone
(787) 479-4819
NPI assigned
May 19, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 24362 PR Primary

Addresses

Primary practice location

Calle Hernandez Carrion
1142
Manati, PR 00674

Mailing address

Ext. la Rambla, Calle Almudena 2213
Ponce, PR 00730

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
I20260306003661 PR Practitioner - General Practice 1052893070 Practice locations: Manati, PR

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1726 Calle Ramon Gonzalez
San Juan, PR 00926

Calle Hernandez Carrion 200
Suite 40
Manati, PR 00674
Phone (787) 479-4819

Calle Hernandez Carrion Urb Atenas
Manati, PR 00674

PO Box
Suite 1650
Cidra, PR 00739

Hospital & facility affiliations

  • Hospicio Luz Celeste Hospice, Caguas, PR, CCN 401576

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24362PRMDFamily Medicine Physician

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": "1684454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1235820127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "EXT. LA RAMBLA, CALLE ALMUDENA 2213",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE HERNANDEZ CARRION",
            "address_2": "1142",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "00674",
            "telephone_number": "787-479-4819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER VAZQUEZ",
        "first_name": "EDWARD",
        "middle_name": "ARTHUR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-19",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "24362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manati, PR

Sources for this page

Verify at the official NPI Registry.