Individual provider Active NPI

Luis J Vazquez Urquia, OPTOMETRIST

  • Optometrist
  • Guaynabo, PR
National Provider Identifier
1508951195
Registry record updated Sep 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
000536 Issued in PR
Practice address
Los Arcos de Suchville # 105
Calle 3 #81
Guaynabo, PR 00966-1679
Phone
(787) 773-7987
Fax
(787) 754-6695
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 000536 PR Primary

Addresses

Primary practice location

Los Arcos de Suchville # 105
Calle 3 #81
Guaynabo, PR 00966-1679

Mailing address

Los Arcos de Suchville # 105
Calle 3 #81
Guaynabo, PR 00966-1679
Phone (787) 773-7987

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160915001609 PR Practitioner - Optometry 8527354661 Practice locations: San Juan, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000536PRMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472688000000",
    "number": "1508951195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LOS ARCOS DE SUCHVILLE # 105",
            "address_2": "CALLE 3 #81",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009661679",
            "telephone_number": "787-773-7987",
            "fax_number": "787-754-6695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LOS ARCOS DE SUCHVILLE # 105",
            "address_2": "CALLE 3 #81",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009661679",
            "telephone_number": "787-773-7987",
            "fax_number": "787-754-6695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ URQUIA",
        "first_name": "LUIS",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "OPTOMETRIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2016-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "000536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

Verify at the official NPI Registry.