Liz Adairis Ciuro Vazquez, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

22118 Issued in PR

Practice address

550 Sergio Cuevas Bustamante
San Juan, PR 00918

Phone

(787) 758-8383

NPI assigned

May 29, 2019

Last updated

Sep 30, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Salud Integral En la Montana, Inc

  • Federally Qualified Health Center (FQHC)
  • Orocovis, PR
  • NPI 1487677159

  General Practice

  Medicare reassignment NPD
• Salud Integral En la Montana, Inc.

  dba Centro Salud Integral en Dorado

  • Clinic/Center
  • Dorado, PR
  • NPI 1760371868
  NPD
• Salud Integral En la Montana, Inc

  • Radiology Clinic/Center
  • Orocovis, PR
  • NPI 1740732890
  NPD (past)

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

{
    "created_epoch": "1559088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1417515156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CALLE AZUCENA",
            "address_2": "RIO PIEDRAS VALLEY",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-610-7115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 SERGIO CUEVAS BUSTAMANTE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-758-8383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIURO VAZQUEZ",
        "first_name": "LIZ",
        "middle_name": "ADAIRIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-29",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• City Health PSC
• City Health PSC (empresalud)
• City Lab Inc (Laboratorio Clinico City Lab)
• City Optical
• Ciudadela Dental Group
• Cla Radio Surgery Group Inc.
• Luis V Clas, M.D.
• Jaycie Lee Class Torres
• Walisbeth Class-Vazquez
• Arelys Class, BACH

• General Practice Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.

Verify at the official NPI Registry.