Individual provider Active NPI

Luis R Hernandez Vazquez, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • San Juan, PR
National Provider Identifier
1407126675
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
18732 Issued in PR
Practice address
Vita Care Clinics 1801 Ave Ponce de Leon
San Juan, PR 00921
Phone
(787) 622-3000
NPI assigned
Jan 5, 2012
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 18732 PR
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 18732 PR Primary

Addresses

Primary practice location

Vita Care Clinics 1801 Ave Ponce de Leon
San Juan, PR 00921

Mailing address

PO Box 2222
Arecibo, PR 00613-2222
Phone (787) 765-5147

Other practice location 1

Zona Industrial Victor Rojas # 2 Carretera 129
Arecibo, PR 00612
Phone (855) 380-4380

Other practice location 2

B-10 Calle Rhodas
Urbanizacion Monte Atenas
San Juan, PR 00926
Phone (787) 224-4902

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
I20170711000997 PR Practitioner - EndocrinologyPractitioner - Internal Medicine 7214206093 Practice locations: Hatillo, PR

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Ponce School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Del Norte Professional Ctr
Of 303 Carr 493 KM 0.9 Bo. Carrizalez
Hatillo, PR 00659
Phone (787) 365-6721

Del Norte Professional Ctr of
303 Carr 493 KM 0.9 Bo. Carrizalez
Hatillo, PR 00659

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18732PRMDEndocrinology, Diabetes & Metabolism Physician

Interoperability endpoints

  • Direct secure messaging: luis.hernandezvazquez.p1@direct.vitacare.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1325721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1407126675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2222",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006132222",
            "telephone_number": "787-765-5147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VITA CARE CLINICS 1801 AVE PONCE DE LEON",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00921",
            "telephone_number": "787-622-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Zona Industrial Victor Rojas # 2 Carretera 129",
            "address_purpose": "LOCATION",
            "city": "Arecibo",
            "state": "PR",
            "postal_code": "00612",
            "country_code": "US",
            "telephone_number": "855-380-4380",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "B-10 Calle Rhodas",
            "address_2": "Urbanizacion Monte Atenas",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "00926",
            "country_code": "US",
            "telephone_number": "787-224-4902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ VAZQUEZ",
        "first_name": "LUIS",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-05",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "18732",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "PR",
            "license": "18732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.