Active NPI
Milagros Rivera Vazquez, M.D.
- General Practice Physician
- Guayama, PR
National Provider Identifier
1346432580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 11190
- Practice address
- Complejo Correccional Guayama
Guayama, PR 00784 - Phone
- (787) 864-3114
- NPI assigned
- Aug 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 11190 | PR | Primary |
Addresses
Primary practice location
Complejo Correccional Guayama
Guayama, PR 00784
Mailing address
O13 Calle Q
Urb. Jardines de Lafayette
Arroyo, PR 00714-2225
Phone (787) 866-9334
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11190 | FL | MD | Clinical Social Worker |
| 11190 | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Administracion de Servicios de Salud Mental Y Contra la Adiccion | Current | Accepting new patients | |
| Administracion de Servicios de Salud Mental Y Contra la Adiccion | Single Specialty | Current | Accepting new patients |
Organizations & group practices 2
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.
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- NPI 1598750192
Single Specialty
-
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- Aguadilla, PR
- NPI 1982732095
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631145600000",
"number": "1346432580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "O13 CALLE Q",
"address_2": "URB. JARDINES DE LAFAYETTE",
"city": "ARROYO",
"state": "PR",
"postal_code": "007142225",
"telephone_number": "787-866-9334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "COMPLEJO CORRECCIONAL GUAYAMA",
"city": "GUAYAMA",
"state": "PR",
"postal_code": "00784",
"telephone_number": "787-864-3114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA VAZQUEZ",
"first_name": "MILAGROS",
"name_prefix": "Mrs.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-13",
"last_updated": "2021-09-09",
"certification_date": "2021-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": "PR",
"license": "11190",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Guayama, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.