Individual provider Active NPI

Yasdel Oliveras Vazquez, MD

  • General Practice Physician
  • Vega Alta, PR
National Provider Identifier
1659867323
Registry record updated Jul 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
19965 Issued in PR
Practice address
Carr 690 KM 2.2 Cerro Gordo
Apt 1
Vega Alta, PR 00638
Phone
(787) 981-5515
NPI assigned
Jul 6, 2018
Last updated
Jul 6, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2018

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 19965 PR Primary

Addresses

Primary practice location

Carr 690 KM 2.2 Cerro Gordo
Apt 1
Vega Alta, PR 00638

Mailing address

PO Box 1202
Ciales, PR 00638-1202
Phone (787) 981-5515

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
I20190122002588 PR Practitioner - General Practice 8426395930 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Morovis Community Health Center, Inc. CurrentSince Jan 1, 2021 Accepting new patients
Morovis Community Health Center, Inc. CurrentSince Jan 1, 2021 Accepting new patients
Prymed Medical Care Inc CurrentSince Nov 1, 2018 Accepting new patients
Morovis Community Health Center, Inc. CurrentSince Jan 1, 2021 Accepting new patients
Prymed Medical Care, Inc CurrentSince Nov 1, 2018 Accepting new patients

Locations

2 Calle Patron
Morovis, PR 00687
Phone (787) 862-3667

Organizations & group practices 5

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": "1530835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530835200000",
    "number": "1659867323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1202",
            "city": "CIALES",
            "state": "PR",
            "postal_code": "006381202",
            "telephone_number": "787-981-5515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 690 KM 2.2 CERRO GORDO",
            "address_2": "APT 1",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "00638",
            "telephone_number": "787-981-5515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVERAS VAZQUEZ",
        "first_name": "YASDEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-06",
        "last_updated": "2018-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "19965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vega Alta, PR

Sources for this page

Verify at the official NPI Registry.