Active NPI
Enrique Alejandro Vazquez Mendez, MD
- Critical Care Medicine (Internal Medicine) Physician
- Galveston, TX
National Provider Identifier
1730750522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- BP10089935
- Practice address
- 301 University Boulevard
5.140 John Sealy Annex
Galveston, TX 77555 - Phone
- (409) 772-2436
- Fax
- (409) 772-9532
- NPI assigned
- Jul 2, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | L5553R | AL | |
| Pulmonary Disease Physician | 207RP1001X | BP10089935 | TX | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | BP10089935 | TX | Primary |
Addresses
Primary practice location
301 University Boulevard
5.140 John Sealy Annex
Galveston, TX 77555
Mailing address
301 University Boulevard
5.140 John Sealy Annex
Galveston, TX 77555
Phone (409) 772-0750
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210913001236 | AL | Order and Referring Only - Internal Medicine | 9830595123 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L5553R | AL | MD | Internal Medicine Physician |
| BP10089935 | TX | MD | Critical Care Medicine (Internal Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719273600000",
"number": "1730750522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 UNIVERSITY BOULEVARD",
"address_2": "5.140 JOHN SEALY ANNEX",
"city": "GALVESTON",
"state": "TX",
"postal_code": "77555",
"telephone_number": "409-772-0750",
"fax_number": "409-772-4456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 UNIVERSITY BOULEVARD",
"address_2": "5.140 JOHN SEALY ANNEX",
"city": "GALVESTON",
"state": "TX",
"postal_code": "77555",
"telephone_number": "409-772-2436",
"fax_number": "409-772-9532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAZQUEZ MENDEZ",
"first_name": "ENRIQUE",
"middle_name": "ALEJANDRO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-07-02",
"last_updated": "2024-06-25",
"certification_date": "2024-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AL",
"license": "L5553R",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "TX",
"license": "BP10089935",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "TX",
"license": "BP10089935",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Galveston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.