Active NPI
Heriberto Vazquez Sanchez
- Clinical Social Worker
- Juana Diaz, PR
National Provider Identifier
1750881132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 14093
- Practice address
- Ext. la Fe
22591 Calle San Pablo
Juana Diaz, PR 00795 - Phone
- (787) 478-1960
- NPI assigned
- Feb 13, 2018
- Last updated
- Feb 13, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 14093 | PR | Primary |
Addresses
Primary practice location
Ext. la Fe
22591 Calle San Pablo
Juana Diaz, PR 00795
Mailing address
Ext. la Fe
22591 Calle San Pablo
Juana Diaz, PR 00795
Phone (787) 478-1960
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14093 | PR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518480000000",
"number": "1750881132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "EXT. LA FE",
"address_2": "22591 CALLE SAN PABLO",
"city": "JUANA DIAZ",
"state": "PR",
"postal_code": "00795",
"telephone_number": "787-478-1960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "EXT. LA FE",
"address_2": "22591 CALLE SAN PABLO",
"city": "JUANA DIAZ",
"state": "PR",
"postal_code": "00795",
"telephone_number": "787-478-1960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAZQUEZ SANCHEZ",
"first_name": "HERIBERTO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-02-13",
"last_updated": "2018-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PR",
"license": "14093",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Juana Diaz, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.