Carlos R. Vazquez Gonzalez, M.D.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

21651 Issued in PR

Practice address

550 Calle Cuevas Bustamante
Primer Piso
San Juan, PR 00918-3200

Phone

(787) 248-6234

NPI assigned

Jun 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 6

Addresses

Other identifiers 1

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

Specialty

Pulmonary DiseaseAlso: Critical Care (Intensivists)

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Professional Hospital Guaynabo Inc Hospital, Guaynabo, PR, CCN 400122

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: carlos.vazquez@hca4.eclinicaldirectplus.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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

• Pulmonary Alliance of PR,LLC

  • Pulmonary Disease Physician
  • Guaynabo, PR
  • NPI 1558277277
  NPD (past) Authorized official
• Halifax Healthcare Systems Inc

  • Family Medicine Physician
  • Daytona Beach, FL
  • NPI 1245283530

  Critical Care Medicine

  NPD (past)
• Metcare of Florida, Inc

  • Internal Medicine Physician
  • Hialeah, FL
  • NPI 1902893225
  NPD (past)
• Pulmonary Practice Associates MD PA

  • Pulmonary Disease Physician
  • Orange City, FL
  • NPI 1114929643

  Critical Care Medicine

  NPD (past)

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

• Professional Hospital Guaynabo Inc

  • General Acute Care Hospital
  • Guaynabo, PR
  • NPI 1922254952
  Care Compare affiliation

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669939200000",
    "number": "1255370367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CONDOMINIO LOS PATRICIOS APT 1403",
            "address_2": "HS AVE SAN PATRICIO",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00968",
            "telephone_number": "787-679-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 CALLE CUEVAS BUSTAMANTE",
            "address_2": "PRIMER PISO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183200",
            "telephone_number": "787-248-6234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Ave Las Cumbres Km 14.6",
            "address_2": "Professional Office Bldg. Ste 202-203",
            "address_purpose": "LOCATION",
            "city": "Guaynabo",
            "state": "PR",
            "postal_code": "00968",
            "country_code": "US",
            "telephone_number": "787-248-6234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAZQUEZ GONZALEZ",
        "first_name": "CARLOS",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "21651",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "PR",
            "license": "21651",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "FL",
            "license": "ME78017",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "PR",
            "license": "21651",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "PR",
            "license": "21561",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PR",
            "license": "21651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039279800",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yadiris Vazquez Diaz
• Daisy Vazquez Dubeau, M.D.
• Guillermo Jose Vazquez Fernandez
• Leslie A. Vazquez Garcia
• Betsy Vazquez Gomez, MD
• Jeniffer M. Vazquez Gonzalez
• Lissandra Maria Vazquez Grillo
• Alondra Edithza Vazquez Hernandez
• Myrna Enid Vazquez Hernandez
• Lisandrie Marie Vazquez Lopez

• Pulmonary Disease Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Pulmonary Disease Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.