Marisel Vazquez Delgado

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

23417 Issued in PR

Practice address

800 Carr 189
Caminito Alto Apt 142
Gurabo, PR 00778

Phone

(939) 308-0623

NPI assigned

Apr 27, 2021

Last updated

Feb 9, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

General Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Corredor Azul Integral LLCGroup PAC ID 0749700888, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Corredor Azul Integral LLC

  dba A1 Clinic

  • Multi-Specialty Clinic/Center
  • Bayamon, PR
  • NPI 1346097672
  Medicare reassignment Care Compare group NPD
• Neomed Center, Inc

  dba NeoMed Center-OPD Gurabo

  • Federally Qualified Health Center (FQHC)
  • Gurabo, PR
  • NPI 1790776334
  Medicare reassignment NPD
• Neomed Center, Inc

  dba Neomed Center-GU-Laboratory

  • Clinical Medical Laboratory
  • Gurabo, PR
  • NPI 1518286962
  NPD
• Neomed Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Naguabo, PR
  • NPI 1093357337
  NPD
• Primary Physician Care PSC

  • General Practice Physician
  • San Juan, PR
  • NPI 1689810699
  NPD (past)

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

{
    "created_epoch": "1619481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1265014328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CAMINITO ALTO APT 142",
            "address_2": "800 CARR 189",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "00778",
            "telephone_number": "939-308-0623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 CARR 189",
            "address_2": "CAMINITO ALTO APT 142",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "00778",
            "telephone_number": "939-308-0623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ DELGADO",
        "first_name": "MARISEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-27",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "23417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paola Noelia Trinidad, TECNICO DE FARMACIA
• Raiza Trinidad
• Bedynilva Trujillo, PH.D.
• Ucer- Unidad de Cuidado Y Respuesta Emocional
• Universidad de Ana G. Mendez
• Ana H Vazquez Figueroa, MD
• Amarillis Yadira Vazquez Morales, MA, LPC, BC-DMT
• Yarilis Vazquez Pacheco, N.D.
• Adolfo Vazquez Ramos, M.D.
• Arlyn Vazquez, MA

• General Practice Physician in Gurabo, PR
• Providers in Gurabo, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; 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.