Individual provider Active NPI

David E Vazquez-Morales, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Caguas, PR
National Provider Identifier
1508005984
Registry record updated Dec 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
2758 Issued in PR
Practice address
A1 Ave Munoz Rivera Suite 302
Cirugia Ambulatoria
Caguas, PR 00726
Phone
(787) 744-3087
Fax
(787) 704-8165
NPI assigned
Feb 9, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 053129 NY
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 2758 PR Primary

Addresses

Primary practice location

A1 Ave Munoz Rivera Suite 302
Cirugia Ambulatoria
Caguas, PR 00726

Mailing address

PO Box 870
Caguas, PR 00726-0870
Phone (787) 744-3087

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
I20110929000184 PR Practitioner - Maxillofacial SurgeryPractitioner - Oral Surgery 5092984849 Practice locations: Caguas, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
053129NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert E. Zeitlin,D.D.S.,P.C. PastSince Sep 13, 2010 Accepting new patients

Organizations & group practices 1

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": "1234137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322697600000",
    "number": "1508005984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 870",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007260870",
            "telephone_number": "787-744-3087",
            "fax_number": "787-704-8165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "A1 AVE MUNOZ RIVERA SUITE 302",
            "address_2": "CIRUGIA AMBULATORIA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00726",
            "telephone_number": "787-744-3087",
            "fax_number": "787-704-8165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ-MORALES",
        "first_name": "DAVID",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-09",
        "last_updated": "2011-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "053129",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PR",
            "license": "2758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.