Lisette G Vasquez, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

16131 Issued in PR

Practice address

307 Calle Torremolino
Villas del Sol
Carolina, PR 00985-5105

Phone

(787) 478-9014

NPI assigned

Apr 27, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Lisette Vasquez Former name

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, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271376000000",
    "number": "1306803820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 CALLE TORREMOLINO",
            "address_2": "VILLAS DEL SOL",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009855105",
            "telephone_number": "787-478-9014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 CALLE TORREMOLINO",
            "address_2": "VILLAS DEL SOL",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009855105",
            "telephone_number": "787-478-9014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASQUEZ",
        "first_name": "LISETTE",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-27",
        "last_updated": "2010-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "16131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE-S",
            "identifier": "23838VA",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISETTE",
            "last_name": "VASQUEZ",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Juan E. Vargas Fernandez, M.D.
• Omayra Cristina Vargas Morales
• Abelardo I Vargas-Morales, M.D.
• Gloria E. Medina Vargas, OT
• Francisco Antonio Vasquez Pacheco
• Melvin Vazquez Cintron, DMD
• Maria M. Vazquez Diaz, M.D.
• Hilda Enid Vazquez Karma, PHD
• Jorge Vazquez Marcano, MD
• Gilberto Vazquez Romero, MD

• General Practice Physician in Carolina, PR
• Providers in Carolina, 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 Apr 16, 2010; 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.