Jorge Vazquez, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

19158 Issued in PR

Practice address

Centro Medico, Bo. Monacillos
Hospital Municipal de San Juan
San Juan, PR 00921

Phone

(787) 383-1234

NPI assigned

Aug 11, 2015

Last updated

Jul 6, 2023By 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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Physician Services Group LLC PS Group

  • General Practice Physician
  • Bayamon, PR
  • NPI 1477325207
  Medicare reassignment NPD
• Salud Integral En la Montana, Inc

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

  dba Centro Salud Integral en Corozal III

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

  dba Centro Salud Integral en Dorado

  • Clinic/Center
  • Dorado, PR
  • NPI 1760371868
  NPD

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

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1770959959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 C PEDRO PEDROSA",
            "address_2": "URB. GARDEN HILLS",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00966",
            "telephone_number": "787-383-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTRO MEDICO, BO. MONACILLOS",
            "address_2": "HOSPITAL MUNICIPAL DE SAN JUAN",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00921",
            "telephone_number": "787-383-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ",
        "first_name": "JORGE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-11",
        "last_updated": "2023-07-06",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "19158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hector Antonio Vazquez, M.D.
• Heriberto Vazquez
• Humberto R Vazquez, M.D.
• Ian Javier Vazquez, LND, RD
• Idel A Vazquez, M.D.
• Jorge Fernando Vazquez, M.D.
• Juan Carlos Vazquez, DMD
• Kathia Nair Vazquez
• Liza Vazquez, M.D.
• Lourdes Vazquez, MD

• General Practice Physician in San Juan, PR
• Providers in San Juan, 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 Jul 6, 2023; 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.

Verify at the official NPI Registry.