Individual provider Active NPI

Rene Vazquez - Botet, M.D.

  • Ophthalmology Physician
  • San Juan, PR
National Provider Identifier
1669448494
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
5814 Issued in PR
Practice address
386 Ave Domenech
San Juan, PR 00918-3719
Phone
(787) 763-1181
Fax
(787) 765-4103
NPI assigned
Feb 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 5814 PR
Ophthalmology Physician 207W00000X 5814 PR Primary

Addresses

Primary practice location

386 Ave Domenech
San Juan, PR 00918-3719

Mailing address

386 Ave Domenech
San Juan, PR 00918-3719
Phone (787) 763-1181

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
I20220323001374 PR Practitioner - Ophthalmology 7810382173 Practice locations: San Juan, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5814PRMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Psicoalternativas PastSince Jul 19, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rene.vazquez@uprophthalmology.direct.eyemdemr.com
  • Direct secure messaging: sjcrvazqu@yourcarecommunity.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1669448494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "386 AVE DOMENECH",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183719",
            "telephone_number": "787-763-1181",
            "fax_number": "787-765-4103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "386 AVE DOMENECH",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183719",
            "telephone_number": "787-763-1181",
            "fax_number": "787-765-4103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ - BOTET",
        "first_name": "RENE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "5814",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PR",
            "license": "5814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.