Active NPI
Ileana Vazquez-Borrero, M.D.
- Specialist
- San Juan, PR
National Provider Identifier
1508051723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 7615
- Practice address
- 29 Calle Washington
Suite 302
San Juan, PR 00907-1510 - Phone
- (787) 723-3292
- Fax
- (787) 723-3292
- NPI assigned
- Sep 11, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 7615 | PR | Primary |
Addresses
Primary practice location
29 Calle Washington
Suite 302
San Juan, PR 00907-1510
Mailing address
29 Calle Washington
Suite 302
San Juan, PR 00907-1510
Phone (787) 723-3292
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7615 | PR | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189468800000",
"number": "1508051723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 CALLE WASHINGTON",
"address_2": "SUITE 302",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009071510",
"telephone_number": "787-723-3292",
"fax_number": "787-723-3292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 CALLE WASHINGTON",
"address_2": "SUITE 302",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009071510",
"telephone_number": "787-723-3292",
"fax_number": "787-723-3292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAZQUEZ-BORRERO",
"first_name": "ILEANA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-11",
"last_updated": "2007-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "PR",
"license": "7615",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
- Carlos E Vazquez Sosa, M.D.
- Thomas Antonio Vazquez Suarez
- Jesus Emmanuel Vazquez Torres
- Roberto Jorge Vazquez Vazquez
- Delanor R Vazquez-Aponte, MD
- Kimberly Vazquez-Camacho
- Marisel Vazquez-Correa, M.D.
- Lionel David Vazquez-Figueroa, MD
- Iveliz Vazquez-Hernandez, MPH, OTL
- Mariola Alejandra Vazquez-Martinez, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.