Clinica Cirugia Ambulatoria Dr. Luis a. Vazquez, Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

87 Issued in PR

Legal business name

CLINICA CIRUGIA AMBULATORIA DR. LUIS A. VAZQUEZ, INC

Practice address

Calle Peral Esq de Diego
Edificio la Palma Piso 6
Mayaguez, PR 00680

Phone

(787) 833-4400

Fax

(787) 265-6621

NPI assigned

Nov 13, 2006

Reactivated

Jun 22, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Jesus Nieves Rosaio, MSHA MBA

Title

Administrator

Phone

(787) 833-4400

Specialties & licenses 2

Addresses

Other names 1

• CLINICA DE CIRUGIA AMBULATORIA DE PR Other name

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Listed as

Clinica de Cirugia AmbulatoriaCCN 40C0001000

Medicare certification status

ActiveFrom the Provider of Services file

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Irvin Collado Rosas, MD

  • Ophthalmology Physician
  • Mayaguez, PR
  • NPI 1174584767
  NPD
• Roberto Carlos Cummings, MD

  • Pain Medicine (Anesthesiology) Physician
  • Mayaguez, PR
  • NPI 1881817781
  NPD
• Luis A Rivera Rodriguez

  • Ophthalmology Physician
  • Aguada, PR
  • NPI 1801885249
  NPD

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592784000000",
    "number": "1801967815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3748",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006813748",
            "telephone_number": "787-833-4400",
            "fax_number": "787-265-6621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE PERAL ESQ DE DIEGO",
            "address_2": "EDIFICIO LA PALMA PISO 6",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-833-4400",
            "fax_number": "787-265-6621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA CIRUGIA AMBULATORIA DR. LUIS A. VAZQUEZ, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "deactivation_date": "2020-04-29",
        "reactivation_date": "2020-06-22",
        "status": "A",
        "authorized_official_last_name": "NIEVES ROSAIO",
        "authorized_official_first_name": "JESUS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-833-4400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSHA MBA"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "PR",
            "license": "87",
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "745",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLINICA DE CIRUGIA AMBULATORIA DE PR",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "CLINICA DE CIRUGIA AMBULATORIA DE PR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Cirujanos Justiniano, Suris Y Sanchez
• Cite Corp
• CJT MD (Dra. Carla Tamayo - Medicina Interna)
• Mikeel Yadier Class Medina, PHARMD
• Madeline Clavell, SOCIAL WORKER
• Clinica de Salud Y Prevencion de Mayaguez LLC
• Clinica de Servicios de Patologia del Habla Y Lenguaje (Clisep),C.S.P. (Clisep Habla Y Lenguaje)
• Clinica Espanola Inc
• Clinica Espanola, Inc.
• Clinica Espanola, Inc.

• Ambulatory Surgical Clinic/Center in Mayaguez, PR
• Providers in Mayaguez, PR by specialty
• Ambulatory Surgical Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.