Individual provider Active NPI

Ermelinda Z Vazquez Perez, M.D.

  • General Practice Physician
  • Caguas, PR
National Provider Identifier
1447470356
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
11520 Issued in PR
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
180814PRMDGeneral 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

Verify at the official NPI Registry.