Esteban Manuel Vazquez-Valencia, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

19136 Issued in PR

Practice address

257 Calle Mendez Vigo
Dorado, PR 00646-4905

Phone

(787) 278-0830

NPI assigned

Jul 26, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

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

Specialty

Ophthalmology

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: esteban.vazquez-valencia@drmayol.direct.eyemdemr.com

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.

• Best Vision LLC

  • Ophthalmology Physician
  • Dorado, PR
  • NPI 1720241607
  Medicare reassignment NPD
• University of Penn-Medical Group

  • Gynecologic Oncology Physician
  • Philadelphia, PA
  • NPI 1235527342
  NPD
• Glaucoma Specialists of Puerto Rico LLC

  • Glaucoma Specialist (Ophthalmology) Physician
  • Rio Piedras, PR
  • NPI 1104587757
  NPD (past)

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

{
    "created_epoch": "1406332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1699183376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 CALLE MENDEZ VIGO",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006464905",
            "telephone_number": "787-475-7660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 CALLE MENDEZ VIGO",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006464905",
            "telephone_number": "787-278-0830"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "51 N 39th St",
            "address_2": "Ste 515",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191042640",
            "country_code": "US",
            "telephone_number": "215-662-8069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAZQUEZ-VALENCIA",
        "first_name": "ESTEBAN",
        "middle_name": "MANUEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-26",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD466563",
            "primary": false
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "PR",
            "license": "19136",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PR",
            "license": "19136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PUERTO RICO STATE LICENSING BOARD",
            "identifier": "31511R",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PR STATE MEDICAL LICENSE",
            "identifier": "19136",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Juliana Urrutia Ortiz, RN
• Karine Urrutia
• Maritza Vallellanes, 2572526
• Natalia Jennifer Vasquez, MD
• Angie Juliet Vazquez Solis
• Susan Vega Batista, OD
• Zaira Ivette Vega Rosario
• Fernando Vega-Moral, M.D.
• Lilliam Vega
• Geisel Alejandra Velez

• Ophthalmology Physician in Dorado, PR
• Providers in Dorado, PR by specialty
• Ophthalmology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.