Agustin Vazquez Rodriguez

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

24006 Issued in PR

Practice address

Carr 167 KM 10.9
Bayamon, PR 00956

Phone

(787) 730-3446

NPI assigned

Jul 9, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

General Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Salud Integral En la Montana IncGroup PAC ID 8527972827, 64 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Salud Integral En la Montana, Inc

  • Federally Qualified Health Center (FQHC)
  • Comerio, PR
  • NPI 1275556946
  Medicare reassignment Care Compare group
• Salud Integral En la Montana, Inc.

  • Clinic/Center
  • Corozal, PR
  • NPI 1205665353
  NPD
• Salud Integral En la Montana, Inc.

  • Clinic/Center
  • Dorado, PR
  • NPI 1760371868
  NPD
• Vazquez & Villegas LLC

  • General Practice Physician
  • Vega Alta, PR
  • NPI 1760357974
  NPD

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

{
    "created_epoch": "1594252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1750909495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CARR 167 KM 10.9",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00956",
            "telephone_number": "787-730-3446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 167 KM 10.9",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00956",
            "telephone_number": "787-730-3446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ RODRIGUEZ",
        "first_name": "AGUSTIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-09",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "24006",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PR",
            "license": "24006",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica Vazquez Ortega
• Vilmarie Gabriela Vazquez Padilla
• Barbara T Vazquez Rivera, OTL
• Hyrza M Vazquez Rivera, MD
• Katiana Michelle Vazquez Rivera, BS
• Vanessa Vazquez Vergara, MD, MHA
• Ekie G Vazquez-Maldonado, M.D.
• Wilmarie Vazquez-Ramos
• Anais Vazquez-Rivera
• Himirce Vazquez-Rivera, M.D.

• General Practice Physician in Bayamon, PR
• Providers in Bayamon, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.