Active NPI
Ermelinda Z Vazquez Perez, M.D.
- General Practice Physician
- Caguas, PR
National Provider Identifier
1447470356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 11520
- Practice address
- Ave Luis Munoz Marin
Edif Mercantil Caguax Apartado 425
Caguas, PR 00725 - Phone
- (787) 653-4401
- NPI assigned
- Apr 26, 2007
- Last updated
- Apr 1, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 180814 | PR | |
| General Practice Physician | 208D00000X | 11520 | PR | Primary |
Addresses
Primary practice location
Ave Luis Munoz Marin
Edif Mercantil Caguax Apartado 425
Caguas, PR 00725
Mailing address
200 Ave Rafael Cordero Ste 140
PMB 718
Caguas, PR 00725-4303
Phone (787) 604-3083
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 |
|---|---|---|---|---|
| I20170418002143 | PR | Practitioner - General Practice | 3173809688 | Practice locations: Juncos, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180814 | PR | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617235200000",
"number": "1447470356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 AVE RAFAEL CORDERO STE 140",
"address_2": "PMB 718",
"city": "CAGUAS",
"state": "PR",
"postal_code": "007254303",
"telephone_number": "787-604-3083",
"fax_number": "787-854-1452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVE LUIS MUNOZ MARIN",
"address_2": "EDIF MERCANTIL CAGUAX APARTADO 425",
"city": "CAGUAS",
"state": "PR",
"postal_code": "00725",
"telephone_number": "787-653-4401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAZQUEZ PEREZ",
"first_name": "ERMELINDA",
"middle_name": "Z",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-26",
"last_updated": "2021-04-01",
"certification_date": "2021-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "180814",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "11520",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Caguas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.