Rafael Vazquez, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

9999 Issued in PR

Practice address

167 Road KM 11
Bayamon, PR 00956-9711

Phone

(787) 730-3446

Fax

(787) 279-3632

NPI assigned

Mar 8, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 8

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

Specialty

General Practice

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Programa de Servicios de Salud En El Hogar Y Hospicio San Lucas Inc Hospice, Ponce, PR, CCN 401530

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Dajaos Medical Center CSP

  • Clinic/Center
  • Bayamon, PR
  • NPI 1528222676
  Medicare reassignment NPD
• Dajaos Medical Center CSP

  • Primary Care Clinic/Center
  • Bayamon, PR
  • NPI 1649480153
  NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Programa de Servicios de Salud En El Hogar Y Hospicio San Lucas, Inc.

  • Community Based Hospice Care Agency
  • Ponce, PR
  • NPI 1841925161
  Care Compare affiliation

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313625600000",
    "number": "1497723316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 14 BOX 5334",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009569711",
            "telephone_number": "787-730-3446",
            "fax_number": "787-279-3632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 ROAD KM 11",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009569711",
            "telephone_number": "787-730-3446",
            "fax_number": "787-279-3632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ",
        "first_name": "RAFAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2011-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "PR",
            "license": "9999",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "9999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALIC",
            "identifier": "PG3051",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE Y MUCHO MAS",
            "identifier": "500140E",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PLUS",
            "identifier": "N198",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL",
            "identifier": "065480",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA HEALTH PLAN",
            "identifier": "6320088",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN HEALTH",
            "identifier": "2081",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSS",
            "identifier": "82253",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNION DE TRABAJADORES",
            "identifier": "201279",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth Shaquille Vazquez
• Liz Vazquez
• Michelle Alejandra Vazquez, MS
• Natalia Vazquez, MD
• Nilda M Vazquez
• Rosa Mercedes Vazquez, PHARMD
• Nilmarie Vega Berrios
• Gloria Ve Vega Carattini, M.D.
• Camille Nichole Vega de Jesus
• Christian Eduardo Vega Gonzalez

• General Practice Physician in Bayamon, PR
• Providers in Bayamon, 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 Aug 18, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.