Engracia Truyol-Vazquez, M.D.

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

2643 Issued in PR

Practice address

383 Ave FD Roosevelt
San Juan, PR 00918-2143

Phone

(787) 622-5687

Fax

(888) 899-0977

NPI assigned

May 9, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1609080803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "383 AVE FD ROOSEVELT",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009182143",
            "telephone_number": "787-622-5687",
            "fax_number": "888-899-0977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "383 AVE FD ROOSEVELT",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009182143",
            "telephone_number": "787-622-5687",
            "fax_number": "888-899-0977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUYOL-VAZQUEZ",
        "first_name": "ENGRACIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "PR",
            "license": "2634",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "PR",
            "license": "2643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "2634",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DM  LOCAL LICENCE",
            "identifier": "DM 02325-9",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Adult Medicine Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Adult Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.