Active NPI
Martha Vazquez, MD
- Obstetrics & Gynecology Physician
- Levittown, PR
National Provider Identifier
1407975576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 7938
- Practice address
- 2765 Avenida Dos Palmas
Suite 204 Oficentro Dos Palmas
Levittown, PR 00950 - Phone
- (787) 261-0175
- Fax
- (787) 261-0175
- NPI assigned
- Mar 28, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 7938 | PR | Primary |
Addresses
Primary practice location
2765 Avenida Dos Palmas
Suite 204 Oficentro Dos Palmas
Levittown, PR 00950
Mailing address
PO Box 51606
Toa Baja, PR 00950-1606
Phone (787) 530-2803
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| JM846 | Medicaid | PR |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181025001530 | PR | Practitioner - Obstetrics/Gynecology | 9133472889 | Practice locations: Catano, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7938 | PR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543363200000",
"number": "1407975576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 51606",
"city": "TOA BAJA",
"state": "PR",
"postal_code": "009501606",
"telephone_number": "787-530-2803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2765 AVENIDA DOS PALMAS",
"address_2": "SUITE 204 OFICENTRO DOS PALMAS",
"city": "LEVITTOWN",
"state": "PR",
"postal_code": "00950",
"telephone_number": "787-261-0175",
"fax_number": "787-261-0175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAZQUEZ",
"first_name": "MARTHA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-28",
"last_updated": "2018-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "PR",
"license": "7938",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "JM846",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Levittown, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2018; 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.