Individual provider Active NPI

Jose R. Vazquez - Selles, MD

  • Nuclear Imaging & Therapy Physician
  • Rio Piedras, PR
National Provider Identifier
1407826944
Registry record updated Nov 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Imaging & Therapy PhysicianTaxonomy code 207UN0902X
License
6892 Issued in PR
Practice address
Hospital Oncologico Piso 4
Centro Medico de Puerto Rico, Bo. Monacillos
Rio Piedras, PR 00935
Phone
(787) 754-3408
Fax
(787) 622-7852
NPI assigned
Jan 26, 2006
Last updated
Nov 19, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Imaging & Therapy Physician 207UN0902X 6892 PR Primary

Addresses

Primary practice location

Hospital Oncologico Piso 4
Centro Medico de Puerto Rico, Bo. Monacillos
Rio Piedras, PR 00935

Mailing address

Medicina Nuclear RCM
PO Box 29134
San Juan, PR 00929-0134
Phone (787) 758-3408

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
I20111216000614 PR Practitioner - Nuclear MedicinePractitioner - Internal Medicine 3678748860 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6892PRMDNuclear Imaging & Therapy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors Center Hospital Carolina LLC CurrentSince Mar 27, 2019 Accepting new patients
Recinto de Ciencias Medicas CurrentSince Nov 6, 2011 Accepting new patients
Doctors Center Hospital Inc CurrentSince Jan 14, 2013 Accepting new patients
Doctors Center Hospital Bayamon Inc CurrentSince Jan 14, 2013 Accepting new patients
Doctors Center Hospital Carolina LLC CurrentSince Mar 27, 2019 Accepting new patients
Hospitalist Medical Services, PSC PastSince Jan 14, 2013 Accepting new patients

Locations

Hosp Oncologico Ctr Med
San Juan, PR 00935
Phone (787) 758-3408

Hospital Oncologico
San Juan, PR 00935
Phone (787) 764-4215

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321660800000",
    "number": "1407826944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MEDICINA NUCLEAR RCM",
            "address_2": "PO BOX 29134",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009290134",
            "telephone_number": "787-758-3408",
            "fax_number": "787-622-7852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HOSPITAL ONCOLOGICO PISO 4",
            "address_2": "CENTRO MEDICO DE PUERTO RICO, BO. MONACILLOS",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "00935",
            "telephone_number": "787-754-3408",
            "fax_number": "787-622-7852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ - SELLES",
        "first_name": "JOSE",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2011-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207UN0902X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Imaging & Therapy",
            "state": "PR",
            "license": "6892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Piedras, PR

Sources for this page

Verify at the official NPI Registry.