Individual provider Active NPI

Yaritza Santiago Vazquez, MD

  • Internal Medicine Physician
  • Aguadilla, PR
National Provider Identifier
1336597913
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
21685 Issued in PR
Practice address
Carr #2 KM 119.2 Bo Caimital Alto
Aguadilla, PR 00603
Phone
(787) 710-5835
NPI assigned
May 24, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 21685 PR
Student in an Organized Health Care Education/Training Program 390200000X PR
Internal Medicine Physician 207R00000X 21685 PR Primary

Addresses

Primary practice location

Carr #2 KM 119.2 Bo Caimital Alto
Aguadilla, PR 00603

Mailing address

PO Box 4808
Aguadilla, PR 00605-4808
Phone (787) 710-5835

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
I20210909001119 PR Practitioner - Geriatric Medicine 5092119321 Reassigns benefits to 1 organization
Practice locations: Aguadilla, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21685PRMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Geriatria Y Ortopedia del Oeste LLC Geriatric Medicine CurrentSince Sep 9, 2021 Accepting new patients

Locations

47 Ave Severiano Cuevas
Aguadilla, PR 00603
Phone (787) 710-5835

47 Ave Severiano Cuevas
#R
Aguadilla, PR 00603
Phone (787) 710-5835

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1464048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1336597913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4808",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006054808",
            "telephone_number": "787-710-5835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR #2 KM 119.2 BO CAIMITAL ALTO",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00603",
            "telephone_number": "787-710-5835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO VAZQUEZ",
        "first_name": "YARITZA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-24",
        "last_updated": "2024-06-06",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "PR",
            "license": "21685",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PR",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "21685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguadilla, PR

Sources for this page

Verify at the official NPI Registry.