Individual provider Active NPI

Juan Manuel Vazquez, MD

  • Hematology & Oncology Physician
  • Bayamon, PR
National Provider Identifier
1508859380
Registry record updated Mar 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
5165 Issued in PR
Practice address
Paseo San Pablo 100 Edif Arturo Cadilla
Suite 511
Bayamon, PR 00961
Phone
(787) 780-2830
Fax
(787) 786-8281
NPI assigned
Aug 26, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 5165 PR Primary

Addresses

Primary practice location

Paseo San Pablo 100 Edif Arturo Cadilla
Suite 511
Bayamon, PR 00961

Mailing address

Paseo San Pablo 100 Edif Arturo Cadilla
Suite 511
Bayamon, PR 00961
Phone (787) 780-2830

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
I20100915000905 PR Practitioner - Internal MedicinePractitioner - Hematology/Oncology 7810056637 Reassigns benefits to 1 organization
Practice locations: Bayamon, PR

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hematology/Oncology
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PR Hematology Oncology Group IncGroup PAC ID 8820157639, 3 clinicians

Practice addresses (Care Compare)

100 Paseo San Pablo
Bayamon, PR 00961-7019
Phone (787) 780-2830

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
P R Hematology Oncology Group Inc CurrentSince Jul 23, 1993 Accepting new patients
Centro Oncologico Integral de Puerto Rico Inc Hematology & Oncology Past Accepting new patients
P R Hematology Oncology Group Inc Past Accepting new patients

Locations

100 Paseo San Pablo
Ste 511
Bayamon, PR 00961
Phone (787) 780-2830

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395705600000",
    "number": "1508859380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PASEO SAN PABLO 100 EDIF ARTURO CADILLA",
            "address_2": "SUITE 511",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00961",
            "telephone_number": "787-780-2830",
            "fax_number": "787-786-8281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PASEO SAN PABLO 100 EDIF ARTURO CADILLA",
            "address_2": "SUITE 511",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00961",
            "telephone_number": "787-780-2830",
            "fax_number": "787-786-8281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ",
        "first_name": "JUAN",
        "middle_name": "MANUEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-26",
        "last_updated": "2014-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "PR",
            "license": "5165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.