Active NPI
Reinaldo M Vazquez, OD
- Optometrist
- San German, PR
National Provider Identifier
1679629422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 559
- Practice address
- 53 Calle Coral
Repto Pueblo Nuevo
San German, PR 00683-4306 - Phone
- (787) 264-4431
- Fax
- (787) 833-9200
- NPI assigned
- Jan 26, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 559 | PR | Primary |
Addresses
Primary practice location
53 Calle Coral
Repto Pueblo Nuevo
San German, PR 00683-4306
Mailing address
53 Calle Coral
Repto Pueblo Nuevo
San German, PR 00683-4306
Phone (787) 264-4431
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170825002490 | PR | Practitioner - Optometry | 3678845666 | Practice locations: San German, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tu Optica En San German | Current | Accepting new patients | |
| Tu Optica Dr. Reinaldo Manolo Vazquez | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Eyewear Supplier
- San German, PR
- NPI 1316418890
-
- Eyewear Supplier
- Sangerman, PR
- NPI 1669092508
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679629422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53 CALLE CORAL",
"address_2": "REPTO PUEBLO NUEVO",
"city": "SAN GERMAN",
"state": "PR",
"postal_code": "006834306",
"telephone_number": "787-264-4431",
"fax_number": "787-833-9200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "53 CALLE CORAL",
"address_2": "REPTO PUEBLO NUEVO",
"city": "SAN GERMAN",
"state": "PR",
"postal_code": "006834306",
"telephone_number": "787-264-4431",
"fax_number": "787-833-9200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAZQUEZ",
"first_name": "REINALDO",
"middle_name": "M",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PR",
"license": "559",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San German, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.