Centro Oftalmologico Dr Vazguez Diaz

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

13059 Issued in PR

Legal business name

CENTRO OFTALMOLOGICO DR VAZGUEZ DIAZ

Practice address

8111 Concordia St
Concordia Professional Plaza Suite 101
Ponce, PR 00717

Phone

(787) 842-4188

Fax

(787) 842-4288

NPI assigned

Feb 8, 2006

Organization subpart

No

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

Authorized official

Name

Jose Alfredo Vazquez, MD BSB

Title

Owner

Phone

(787) 842-4188

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427021880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9021",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007329021",
            "telephone_number": "787-842-4188",
            "fax_number": "787-842-4288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8111 CONCORDIA ST",
            "address_2": "CONCORDIA PROFESSIONAL PLAZA SUITE 101",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00717",
            "telephone_number": "787-842-4188",
            "fax_number": "787-842-4288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO OFTALMOLOGICO DR VAZGUEZ DIAZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "ALFREDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-842-4188",
        "authorized_official_credential": "MD BSB"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "PR",
            "license": "13059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Ponce, PR
• Providers in Ponce, PR by specialty
• Ophthalmology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.