Vidal Vazquez Santana, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

8049 Issued in PR

Practice address

1519 Ponce de Leon Ave. Pda.23
Suite 1105 First Bank Building
Santurce, PR 00910

Phone

(787) 977-0707

Fax

(787) 977-0708

NPI assigned

Aug 16, 2006

Last updated

Nov 30, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dietetiko LLC

  • Registered Dietitian
  • Bayamon, PR
  • NPI 1003641127
  NPD (past)
• First Medical Center Inc

  • General Practice Physician
  • Comerio, PR
  • NPI 1669589768
  NPD (past)

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291075200000",
    "number": "1740393453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 363003",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009363003",
            "telephone_number": "787-977-0707",
            "fax_number": "787-977-0708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 PONCE DE LEON AVE. PDA.23",
            "address_2": "SUITE 1105 FIRST BANK BUILDING",
            "city": "SANTURCE",
            "state": "PR",
            "postal_code": "00910",
            "telephone_number": "787-977-0707",
            "fax_number": "787-977-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ SANTANA",
        "first_name": "VIDAL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2010-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "8049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S PROVIDER ID",
            "identifier": "80019",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMM PROVIDER ID",
            "identifier": "992650",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IMC PROVIDER ID",
            "identifier": "N121",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED HEALTH PROV ID",
            "identifier": "220192",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UIA PROVIDER ID",
            "identifier": "4508049",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHP PROVIDER ID",
            "identifier": "3156",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PMC PROVIDER ID",
            "identifier": "1688",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL PROVIDER ID",
            "identifier": "066905",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aurea Maritza Valentin, MS
• Nelson R Valerio Perez, MD
• Liza B Vazquez Cobian, MD
• Efrain Vazquez Luna
• Marines Vazquez Rodriguez, M.D.
• Angel Daniel Velez, MD
• Diana Velez, PHD
• Juan A. Vigo Prieto, M.D.
• Nadya Yanuska Villalba-Ramos, M.D.
• Vision 20/20 Inc.

• Cardiovascular Disease Physician in Santurce, PR
• Providers in Santurce, PR by specialty
• Cardiovascular Disease Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.