Vasco Eguia Moreda, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

20447 Issued in PR

Practice address

1607 Ave Ponce de Leon Ste GM04
San Juan, PR 00909-1803

Phone

(787) 910-0909

Fax

(888) 588-0319

NPI assigned

Jan 15, 2009

Last updated

Jul 12, 2021By the provider in NPPES

Sex

Male

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 6

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

GastroenterologyAlso: Internal Medicine

Education

University of Puerto Rico School of Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hospital Pavia Santurce Hospital, San Juan, PR, CCN 400019
• Hospital Espanol Auxilio Mutuo San Pablo Hospital, Bayamon, PR, CCN 400109

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sjcvascoe@yourcarecommunity.org

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.

• Grupo San Mateo, LLC

  • Gastroenterology Physician
  • San Juan, PR
  • NPI 1295293991
  Medicare reassignment NPD
• Gastrovem, LLC

  • Gastroenterology Physician
  • San Juan, PR
  • NPI 1467880146
  Authorized official Same address or phone
• GSM-Salud Primaria, LLC

  dba GSM-Salud Primaria

  • Internal Medicine Physician
  • San Juan, PR
  • NPI 1376202366
  Authorized official Same address or phone

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

• Am Acquisition I, LLC

  dba Hospital Auxilio Mutuo San Pablo

  • General Acute Care Hospital
  • Bayamon, PR
  • NPI 1518732700
  Care Compare affiliation
• Metro Santurce, Inc.

  dba Hospital Pavia Santurce

  • General Acute Care Hospital
  • San Juan, PR
  • NPI 1467417865
  Care Compare affiliation

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

{
    "created_epoch": "1231977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1316184161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1353 AVE LUIS VIGOREAUX",
            "address_2": "PMB 757",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009662715",
            "telephone_number": "787-910-0909",
            "fax_number": "888-588-0319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 AVE PONCE DE LEON STE GM04",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009091803",
            "telephone_number": "787-910-0909",
            "fax_number": "888-588-0319"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "66 Calle Santa Cruz",
            "address_2": "Suite 201-B",
            "address_purpose": "LOCATION",
            "city": "Bayamon",
            "state": "PR",
            "postal_code": "009617041",
            "country_code": "US",
            "telephone_number": "787-910-0909",
            "fax_number": "787-620-4765",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EGUIA MOREDA",
        "first_name": "VASCO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-15",
        "last_updated": "2021-07-12",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PR",
            "license": "20447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038026303",
            "state": "PR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "037939901",
            "state": "PR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038026305",
            "state": "PR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038026302",
            "state": "PR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038026304",
            "state": "PR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "037891301",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edwards Lifesciences Puerto Rico Corporation
• Viviana Edwards, SRNA
• Euclides Effio Jr., M.D.
• Karla Desiree Egea Diaz, RDN
• Egida E Institucion El Paraiso
• Eider Medical Group PSC
• Eighty Two Health Care Inc.
• Ej Optics Puerto Rico, Inc (macy's vision express)
• Ekocardiodiagnotis Inc.
• El Botinquin de Cupey Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; 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.