Individual provider Active NPI

Marines Vazquez Rodriguez, M.D.

  • Ophthalmology Physician
  • Santurce, PR
National Provider Identifier
1366466138
Registry record updated Sep 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
15343 Issued in PR
Practice address
274 Calle Convento
Santurce, PR 00912-3207
Phone
(787) 725-5143
Fax
(787) 977-8424
NPI assigned
Jul 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 15343 PR Primary

Addresses

Primary practice location

274 Calle Convento
Santurce, PR 00912-3207

Mailing address

146 Calle Vasallo
San Juan, PR 00911-1926
Phone (787) 948-5879

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
I20041019000069 PR Practitioner - Ophthalmology 4486614922 Practice locations: Santurce, PR

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University Central del Caribe Escuela de Medicina, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

274 Calle Convento
Santurce, PR 00912-3207
Phone (787) 725-5143

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15343PRMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica de Ojos Maldonado Vazquez Ophthalmology Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sjcmvazqu@yourcarecommunity.org

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537747200000",
    "number": "1366466138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 CALLE VASALLO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009111926",
            "telephone_number": "787-948-5879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 CALLE CONVENTO",
            "city": "SANTURCE",
            "state": "PR",
            "postal_code": "009123207",
            "telephone_number": "787-725-5143",
            "fax_number": "787-977-8424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ RODRIGUEZ",
        "first_name": "MARINES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2018-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PR",
            "license": "15343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santurce, PR

Sources for this page

Verify at the official NPI Registry.