Individual provider Active NPI

Oscar Rafael Vazquez Ortiz, MD

  • Diagnostic Radiology Physician
  • Guayama, PR
National Provider Identifier
1811384753
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
21323 Issued in PR
Practice address
431 Calle Atenea
Urb. Monte Olivo
Guayama, PR 00784-6648
Phone
(787) 557-3435
NPI assigned
Apr 17, 2015
Last updated
Jul 20, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Medicine Physician 207U00000X 21323 PR
Diagnostic Radiology Physician 2085R0202X 21323 PR Primary

Addresses

Primary practice location

431 Calle Atenea
Urb. Monte Olivo
Guayama, PR 00784-6648

Mailing address

1477 Ashford Ave
Apt 4B
San Juan, PR 00907
Phone (787) 557-3435

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220824002342 PR Practitioner - Diagnostic Radiology 1254714249 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Consolidated Radiology Complex, CSPGroup PAC ID 4587748710, 5 clinicians
MMD Breast Imaging PSCGroup PAC ID 8628442951, 2 clinicians

Practice addresses (Care Compare)

202 Calle Gautier Benitez
Caguas, PR 00725-5512
Phone (787) 746-8383

Edif Medico Santa Cruz
73 Oficina 108
Bayamon, PR 00961-6910
Phone (787) 785-8110

Gautier Benitez Ave
202 Consolidated Medical Plaza Suite 004
Caguas, PR 00725-5512

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
21323PRMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Las Americas Guaynabo, Inc CurrentSince Sep 1, 2022 Accepting new patients
Clinica Las Americas Guaynabo, Inc Diagnostic Radiology Current Accepting new patients
Clinica Las Americas Guaynabo, Inc CurrentSince Sep 1, 2022 Accepting new patients
MMD Breast Imaging PSC Diagnostic Radiology CurrentSince Jan 23, 2024 Accepting new patients
Consolidated Radiology Complex CSP Diagnostic Radiology CurrentSince Feb 13, 2023 Accepting new patients
Servicios Radiologicos Asociados Jorge Perez Brais Diagnostic Radiology CurrentSince Jan 30, 2023 Accepting new patients
Centro Medico del Turabo Inc CurrentSince Jul 19, 2022 Accepting new patients
Centro Medico del Turabo Inc CurrentSince Jul 19, 2022 Accepting new patients

Locations

1 Ave Casa Linda
Bayamon, PR 00959

1 Ave Casa Linda
Ste 101
Bayamon, PR 00959
Phone (787) 399-9092

70 Calle Santa Cruz
Bayamon, PR 00961
Phone (787) 620-1639

100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261

202 Calle Gautier Benitez
Ste 4
Caguas, PR 00725

390 Calle Manuel Domenech
San Juan, PR 00918
Phone (787) 764-7328

400 Ave Franklin D Roosevelt
Ste 101
San Juan, PR 00918
Phone (809) 765-7713

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1429228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1811384753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1477 ASHFORD AVE",
            "address_2": "APT 4B",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00907",
            "telephone_number": "787-557-3435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 CALLE ATENEA",
            "address_2": "URB. MONTE OLIVO",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "007846648",
            "telephone_number": "787-557-3435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ ORTIZ",
        "first_name": "OSCAR",
        "middle_name": "RAFAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-17",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "PR",
            "license": "21323",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PR",
            "license": "21323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guayama, PR

Sources for this page

Verify at the official NPI Registry.