Mirelys Vazquez-Nieves, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

16174 Issued in PR

Practice address

Carr. 453 KM 0.5 Suite 124
Bo. Carrizalez Medical & Professional Plaza
Hatillo, PR 00659-9998

Phone

(787) 544-4777

Fax

(787) 544-4777

NPI assigned

Mar 8, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407888000000",
    "number": "1538290754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "#39 URB COSTA NORTE",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "006599998",
            "telephone_number": "787-544-4777",
            "fax_number": "787-544-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 453 KM 0.5 SUITE 124",
            "address_2": "BO. CARRIZALEZ MEDICAL & PROFESSIONAL PLAZA",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "006599998",
            "telephone_number": "787-544-4777",
            "fax_number": "787-544-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ-NIEVES",
        "first_name": "MIRELYS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2014-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "16174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean Manuel Alejandro Valentin, MD
• Samarys Luz Vales Jimenez
• Juan Carlos Vargas Loyselle, PHARMD, MPH
• Jean Carlo Vargas Pabon, DC
• Sofia Vazquez Chacon, PT, EMTB, USAR
• Jennifer Aileen Vazquez-Perez
• Rafael O. Vazquez, R.PH.
• Yarielis Vega Delgado, MSW
• William Joel Vega Ramirez, DC
• Aixa E Vega Rodriguez

• General Practice Physician in Hatillo, PR
• Providers in Hatillo, 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 13, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.