Individual provider Active NPI

Carlos R Vazquez Duran, MD

  • General Practice Physician
  • Bayamon, PR
National Provider Identifier
1588249205
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
23469 Issued in PR
Practice address
Torre San Pablo Ste 101
Bayamon, PR 00961-7031
Phone
(787) 786-5305
NPI assigned
Mar 15, 2021
Last updated
Nov 8, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 23469 PR Primary

Addresses

Primary practice location

Torre San Pablo Ste 101
Bayamon, PR 00961-7031

Mailing address

PO Box 1847
Bayamon, PR 00960-1847
Phone (787) 786-5305

Other practice location 1

KM 11.7
PR 2
Bayamon, PR 00959
Phone (787) 620-8181

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
I20231202000041 PR Practitioner - General Practice 2860840857 Reassigns benefits to 2 organizations
Practice locations: Toa Alta, PR; Bayamon, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Varmed Health Center LLCGroup PAC ID 9830578079, 5 clinicians

Practice addresses (Care Compare)

Calle Manuel F Rossy Esquina Segunda
Bayamon, PR 00960
Phone (787) 995-1900

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Varmed Health Center LLC CurrentSince Sep 26, 2024 Accepting new patients
Varmed Health Center LLC CurrentSince Sep 26, 2024 Accepting new patients
Varmed Health Center LLC Current Accepting new patients
New Vision Medical Diagnostics LLC Current Accepting new patients
New Vision Medical Diagnostic LLC General Practice CurrentSince Nov 2, 2023 Accepting new patients
Instituto de Urologia Avanzada CSP PastSince Nov 9, 2009 Accepting new patients

Organizations & group practices 6

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": "1615766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1588249205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1847",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009601847",
            "telephone_number": "787-786-5305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TORRE SAN PABLO STE 101",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009617031",
            "telephone_number": "787-786-5305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "KM 11.7",
            "address_2": "PR 2",
            "address_purpose": "LOCATION",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00959",
            "country_code": "US",
            "telephone_number": "787-620-8181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAZQUEZ DURAN",
        "first_name": "CARLOS",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-15",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "23469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.