Individual provider Active NPI

Lizmary Vazquez, M.D.

  • Personal Emergency Response Attendant
  • Mayaguez, PR
National Provider Identifier
1437286259
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Emergency Response AttendantTaxonomy code 146D00000X
License
15607 Issued in PR
Practice address
79 Ave Efrain Rivera
Urb Rio Cristal
Mayaguez, PR 00680-1931
Phone
(787) 832-0346
NPI assigned
Feb 28, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Emergency Response Attendant 146D00000X 15607 PR Primary

Addresses

Primary practice location

79 Ave Efrain Rivera
Urb Rio Cristal
Mayaguez, PR 00680-1931

Mailing address

79 Ave Efrain Rivera
Urb Rio Cristal
Mayaguez, PR 00680-1931

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
I20051003000394 PR Practitioner - General Practice 5193750776 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15607PRMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mayaguez Medical Center Dr Ramon Emeterio Betances Inc CurrentSince Jul 19, 2018 Accepting new patients
Physician Healthcare Administration LLC CurrentSince Mar 20, 2023 Accepting new patients
Integrated Health Management LLC Past Accepting new patients

Locations

15 Calle Dr Basora N
Mayaguez, PR 00680
Phone (787) 342-6120

H14 Calle 1
Vega Baja, PR 00693
Phone (787) 855-5493

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437286259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 AVE EFRAIN RIVERA",
            "address_2": "URB RIO CRISTAL",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006801931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 AVE EFRAIN RIVERA",
            "address_2": "URB RIO CRISTAL",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006801931",
            "telephone_number": "787-832-0346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ",
        "first_name": "LIZMARY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146D00000X",
            "taxonomy_group": "",
            "desc": "Personal Emergency Response Attendant",
            "state": "PR",
            "license": "15607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

Verify at the official NPI Registry.