Individual provider Active NPI

Esteban Vazquez Astacio, MD

  • General Practice Physician
  • Barranquitas, PR
National Provider Identifier
1740399153
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
9276 Issued in PR
Practice address
2073 Calle Cloto
Barranquitas, PR 00794-0489
Phone
(787) 857-0300
Fax
(787) 857-0800
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 9276 PR Primary

Addresses

Primary practice location

2073 Calle Cloto
Barranquitas, PR 00794-0489

Mailing address

PO Box 489
Guaynabo, PR 00970-0489
Phone (787) 790-6670

Other identifiers 5

IdentifierTypeStateIssuer
6606027292OtherPRMCS
7940009OtherPRHUMANA
400060OtherPRMMM
00351OtherPRMENONITA
065187OtherPRCRUZ AZUL

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
I20080512000677 PR Practitioner - General Practice 1658327440 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8 0 Carr 152 KM
Barranquitas, PR 00794
Phone (787) 857-0300

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Grupo Medico Enmanuel CSP General Practice CurrentSince Nov 1, 2001 Accepting new patients
Laboratorio Clinico Emanuel ,Inc CurrentSince Sep 28, 2007 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740399153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 489",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009700489",
            "telephone_number": "787-790-6670",
            "fax_number": "787-857-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2073 CALLE CLOTO",
            "city": "BARRANQUITAS",
            "state": "PR",
            "postal_code": "007940489",
            "telephone_number": "787-857-0300",
            "fax_number": "787-857-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ ASTACIO",
        "first_name": "ESTEBAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "9276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCS",
            "identifier": "6606027292",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "7940009",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMM",
            "identifier": "400060",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MENONITA",
            "identifier": "00351",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL",
            "identifier": "065187",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Barranquitas, PR

Sources for this page

Verify at the official NPI Registry.