Active NPI
Jesus M Vazquez Santos, M.D.
- General Practice Physician
- Florida, PR
National Provider Identifier
1609962950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 9521
- Practice address
- 72 Calle Arizmendi
Florida, PR 00650-2006 - Phone
- (787) 822-3446
- Fax
- (787) 822-1622
- NPI assigned
- Oct 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 9521 | PR | Primary |
Addresses
Primary practice location
72 Calle Arizmendi
Florida, PR 00650-2006
Mailing address
PO Box 1336
Hatillo, PR 00659-1336
Phone (787) 822-3446
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070622000156 | PR | Practitioner - General Practice | 2466551064 | Practice locations: Florida, PR |
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
72 Calle Arizmendi
Florida, PR 00650-2006
Phone (787) 822-3446
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709164800000",
"number": "1609962950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1336",
"city": "HATILLO",
"state": "PR",
"postal_code": "006591336",
"telephone_number": "787-822-3446",
"fax_number": "787-822-1622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "72 CALLE ARIZMENDI",
"city": "FLORIDA",
"state": "PR",
"postal_code": "006502006",
"telephone_number": "787-822-3446",
"fax_number": "787-822-1622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAZQUEZ SANTOS",
"first_name": "JESUS",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2024-02-29",
"certification_date": "2024-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "9521",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Florida, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.