Individual provider Active NPI

Hector M. Aviles Vazquez, M.D.

  • General Practice Physician
  • Aguada, PR
National Provider Identifier
1295808194
Registry record updated Dec 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
14910 Issued in PR
Practice address
Carr 115 KM 0.1 Ave Rotario
Bo Asomante
Aguada, PR 00602
Phone
(787) 868-9999
NPI assigned
Nov 16, 2006
Last updated
Dec 13, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 14910 PR Primary

Addresses

Primary practice location

Carr 115 KM 0.1 Ave Rotario
Bo Asomante
Aguada, PR 00602

Mailing address

PO Box 2069
Aguada, PR 00602-2069
Phone (787) 868-9999

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
I20070112000301 PR Practitioner - General Practice 7315947421 Practice locations: Aguada, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14910PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Avisant Grupo Medico, CSP General Practice 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": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481587200000",
    "number": "1295808194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2069",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006022069",
            "telephone_number": "787-868-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 115 KM 0.1 AVE ROTARIO",
            "address_2": "BO ASOMANTE",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "00602",
            "telephone_number": "787-868-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVILES VAZQUEZ",
        "first_name": "HECTOR",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2016-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "14910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguada, PR

Sources for this page

Verify at the official NPI Registry.