Ileana Vazquez Otero, MD

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

19,602 Issued in PR

Practice address

100 Carr 165 Ste 406
Guaynabo, PR 00968-8050

Phone

(939) 945-8335

Fax

(939) 945-8332

NPI assigned

Jun 12, 2014

Sex

Female

Sole proprietor

No

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

Specialty

RheumatologyAlso: Internal Medicine

Education

University of Puerto Rico School of Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Clinica Reuviva

  • Rheumatology Physician
  • Guaynabo, PR
  • NPI 1053082891
  NPD

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

{
    "created_epoch": "1402531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1790199271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 CALLE CASALS",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009691004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CARR 165 STE 406",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009688050",
            "telephone_number": "939-945-8335",
            "fax_number": "939-945-8332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ OTERO",
        "first_name": "ILEANA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-12",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "PR",
            "license": "19,602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sebastian Jose Vazquez Folch, MEDICAL STUDENT
• Carlos J Vazquez Fonseca, 1289P
• Tanya N Vazquez Garcia, 1098B
• Gabriela Alexandra Vazquez Gonzalez
• Pedro J Vazquez Hernandez, 0828B
• Mario Vazquez Paniagua, 1094P
• Francisco Vazquez Rivera, 0353B
• Vianca Vazquez Rodriguez
• Ayxa Suzzette Vazquez Silva, THL
• Luis J Vazquez Urquia, OPTOMETRIST

• Rheumatology Physician in Guaynabo, PR
• Providers in Guaynabo, PR by specialty
• Rheumatology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.