Individual provider Active NPI

Gilberto Vazquez Perez, MD

  • General Practice Physician
  • Naranjito, PR
National Provider Identifier
1720154750
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
11436 Issued in PR
Practice address
Carr 803 KM 8.9
Bo Cedro Arriba
Naranjito, PR 00719-8771
Phone
(787) 869-4721
Fax
(787) 869-0536
NPI assigned
Nov 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 11436 PR Primary

Addresses

Primary practice location

Carr 803 KM 8.9
Bo Cedro Arriba
Naranjito, PR 00719-8771

Mailing address

HC 72 Box 3951
D1
Naranjito, PR 00719-8771
Phone (787) 869-4721

Other identifiers 7

IdentifierTypeStateIssuer
080106OtherLA CRUZ AZUL DE PR
26781OtherASOCIACION DE MAESTROS
87628OtherMEDICARE OPTIMO
87628OtherTRIPLE S
03946OtherAMERICAN HEALTH
2011407OtherPREFERRED HEALTH
400288OtherMEDICARE Y MUCHO MAS

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
I20120207000402 PR Practitioner - General Practice 6901821867 Reassigns benefits to 1 organization
Practice locations: Naranjito, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vazquez and Perez LLCGroup PAC ID 8123422276, 2 clinicians

Practice addresses (Care Compare)

Carr152 Interseccion 803 KM
10 Bo Cedro Arriba
Naranjito, PR 00719-8771
Phone (787) 869-4721

HC 72 Box
Suite 3951
Naranjito, PR 00719-8771

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11436PRMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Vazquez & Perez LLC General Practice CurrentSince Jun 1, 2021 Accepting new patients
Centro Radiologico de la Montana PSC CurrentSince Oct 25, 2013 Accepting new patients

Locations

3951 HC 72
Naranjito, PR 00719

3951 HC 72
#D1
Naranjito, PR 00719

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.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1720154750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 72 BOX 3951",
            "address_2": "D1",
            "city": "NARANJITO",
            "state": "PR",
            "postal_code": "007198771",
            "telephone_number": "787-869-4721",
            "fax_number": "787-869-0536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 803 KM 8.9",
            "address_2": "BO CEDRO ARRIBA",
            "city": "NARANJITO",
            "state": "PR",
            "postal_code": "007198771",
            "telephone_number": "787-869-4721",
            "fax_number": "787-869-0536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ PEREZ",
        "first_name": "GILBERTO",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "11436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LA CRUZ AZUL DE PR",
            "identifier": "080106",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASOCIACION DE MAESTROS",
            "identifier": "26781",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE OPTIMO",
            "identifier": "87628",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "87628",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN HEALTH",
            "identifier": "03946",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED HEALTH",
            "identifier": "2011407",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE Y MUCHO MAS",
            "identifier": "400288",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naranjito, PR

Sources for this page

Verify at the official NPI Registry.