Luis Florentino Vazquez Justiniano, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

13995788-1205 Issued in UT

Practice address

2810 W. Expressway 83
Mercedes, TX 78570

Phone

(956) 296-1816

Fax

(956) 296-1816

NPI assigned

May 14, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Travis County Emergency Physicians PA

  • Emergency Medicine Physician
  • Austin, TX
  • NPI 1962440933
  Medicare reassignment NPD

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

{
    "created_epoch": "1620950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1689248627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 W. EXPRESSWAY 83",
            "city": "MERCEDES",
            "state": "TX",
            "postal_code": "78570",
            "telephone_number": "956-296-1816",
            "fax_number": "956-296-1816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 W. EXPRESSWAY 83",
            "city": "MERCEDES",
            "state": "TX",
            "postal_code": "78570",
            "telephone_number": "956-296-1816",
            "fax_number": "956-296-1816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ JUSTINIANO",
        "first_name": "LUIS",
        "middle_name": "FLORENTINO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-14",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "13995788-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mansour Acmad Usudan, FNP-BC
• Uvalde County Hospital Authority
• Samantha Valdez, LPC
• Hannah Faith Valdivia, SLPA
• Monica Valeria Vallejo Neacato, MD
• Tyrah Jane Vela, SLP-A
• Ezequiel Veliz Caceres
• Vida Adult Day Care, LLC
• Lindamay Vierra, LPC
• Jennifer Villarreal

• Family Medicine Physician in Mercedes, TX
• Providers in Mercedes, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.