Jennifer Vazquez, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

1711-P.A. Issued in PR

Practice address

Calle de la Candelaria #111 Este
Mayaguez, PR 00680-5058

Phone

(787) 833-5567

NPI assigned

Jun 1, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

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 and National Provider Directory roles.

• Epic Cardiovascular Group

  • Cardiovascular Disease Physician
  • Mayaguez, PR
  • NPI 1679165120
  NPD

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

{
    "created_epoch": "1685577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1326731571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7379",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006817379",
            "telephone_number": "939-253-7057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE DE LA CANDELARIA #111 ESTE",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006805058",
            "telephone_number": "787-833-5567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-01",
        "last_updated": "2023-06-01",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PR",
            "license": "1711-P.A.",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Vazquez-Acevedo, MS SLP
• Edgar Vazquez-Vargas, MD
• Edgar J Vazquez, M.D.
• Elisaura Vazquez, MSW
• Geraldine Francheska Vazquez, MA. ED.
• Lizmary Vazquez, M.D.
• Maribel Vazquez, NURSE
• Nerialis Vazquez, LCDA
• Rebeca Enid Vazquez, PULMONOLOGIST, MD
• Carlos Abner Vega Perez

• Medical Physician Assistant in Mayaguez, PR
• Providers in Mayaguez, PR by specialty
• Medical Physician Assistant in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.