Active NPI
Elizabeth Sanjurjo, MD
- General Practice Physician
- Vega Baja, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 14503
- Practice address
- Hospital Wilma N. Vazquez
Carr No. 2 KM. 39.5
Vega Baja, PR 00693 - Phone
- (787) 858-1580
- NPI assigned
- Mar 15, 2007
- Last updated
- Mar 3, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | 14503 | PR | Primary |
Addresses
Primary practice location
Hospital Wilma N. Vazquez
Carr No. 2 KM. 39.5
Vega Baja, PR 00693
Mailing address
Miramelinda 416
Urb. Sabanera
Cidra, PR 00739
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Instituto Medico del Norte Inc | Current | Accepting new patients | |
| Integrate Community Health System | Current | Accepting new patients | |
| Instituto Medico del Norte Inc | Current | Accepting new patients | |
| Integrate Community Health System | Current | Accepting new patients | |
| Integrate Community Health System, Inc. | Current | Accepting new patients | |
| Proactive Primary Care LLC | General Practice | Past | Accepting new patients |
| Centro de Medicina Oncologica de Puerto Rico, CSP | Past | Accepting new patients |
Locations
426 Calle Agueybana
San Juan, PR 00918
Phone (787) 238-5801
Organizations & group practices 7
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.
-
dba Centro Medico Wilma N Vazquez
- General Acute Care Hospital
- Vega Baja, PR
- NPI 1154309169
-
dba Metro Pavia Clinic Humacao
- Community Health Clinic/Center
- Humacao, PR
- NPI 1467674713
-
- Radiology Clinic/Center
- San Juan, PR
- NPI 1225802606
-
dba Metro Pavia Clinic Hato Rey
- Emergency Care Clinic/Center
- Hato Rey, PR
- NPI 1154537546
-
dba Metro Pavia Clinic Aguadilla - Lab
- Clinical Medical Laboratory
- Aguadilla, PR
- NPI 1821502519
-
- Hematology & Oncology Physician
- Vega Baja, PR
- NPI 1750872099
-
- General Practice Physician
- Vega Baja, PR
- NPI 1477276210
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330732800000",
"number": "1669506598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MIRAMELINDA 416",
"address_2": "URB. SABANERA",
"city": "CIDRA",
"state": "PR",
"postal_code": "00739",
"fax_number": "787-714-1056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HOSPITAL WILMA N. VAZQUEZ",
"address_2": "CARR NO. 2 KM. 39.5",
"city": "VEGA BAJA",
"state": "PR",
"postal_code": "00693",
"telephone_number": "787-858-1580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANJURJO",
"first_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-15",
"last_updated": "2012-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "14503",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vega Baja, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.