Active NPI
Yarelis Marie Vazquez Perez, M.D.
- Vascular & Interventional Radiology Physician
- Ponce, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 18605
- Practice address
- 917 Avenida Tito Castro
Hospital San Lucas
Ponce, PR 00733 - Phone
- (787) 844-2080
- NPI assigned
- Sep 12, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Vascular & Interventional Radiology Physician | 2085R0204X | 18605 | PR | Primary |
Addresses
Primary practice location
917 Avenida Tito Castro
Hospital San Lucas
Ponce, PR 00733
Mailing address
HC 72 Box 3951
Naranjito, PR 00719-8771
Other practice location 1
450 Clarkson Ave
3rd floor room B-3304
Brooklyn, NY 11203
Phone (718) 270-8867
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Radiology
- Education
- University Central del Caribe Escuela de Medicina, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
617 Manuel Pavia St
San Juan, PR 00910-8040
Phone (787) 727-5381
Carr 152 Int
803 KM 10.1 Bo Cedro Arriba
Naranjito, PR 00719-8771
Phone (787) 869-2687
Hospital & facility affiliations
- Hospital Pavia Santurce
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18605 | PR | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centro Radiologico de la Montana PSC | Current | Accepting new patients |
Locations
3951 HC 72
Naranjito, PR 00719
Organizations & group practices 3
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.
-
- Diagnostic Radiology Physician
- Naranjito, PR
- NPI 1962908723
-
- Body Imaging Physician
- San Juan, PR
- NPI 1043287055
-
- Mammography Clinic/Center
- Naranjito, PR
- NPI 1164851804
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Juan, PR
- NPI 1467417865
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537833600000",
"number": "1821348418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 72 BOX 3951",
"city": "NARANJITO",
"state": "PR",
"postal_code": "007198771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "917 AVENIDA TITO CASTRO",
"address_2": "HOSPITAL SAN LUCAS",
"city": "PONCE",
"state": "PR",
"postal_code": "00733",
"telephone_number": "787-844-2080"
}
],
"practiceLocations": [
{
"address_1": "450 Clarkson Ave",
"address_2": "3rd floor room B-3304",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "11203",
"country_code": "US",
"telephone_number": "718-270-8867",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VAZQUEZ PEREZ",
"first_name": "YARELIS",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-12",
"last_updated": "2018-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "PR",
"license": "18605",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2018; 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.