Individual provider Active NPI

Yarelis Marie Vazquez Perez, M.D.

  • Vascular & Interventional Radiology Physician
  • Ponce, PR
National Provider Identifier
1821348418
Registry record updated Sep 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
18605 Issued in PR
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

Updated by the provider on Sep 25, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180605002601 PR Practitioner - Interventional Radiology 3870858202 Reassigns benefits to 2 organizations

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
M and P Radiologos, LLCGroup PAC ID 1254397094, 21 clinicians

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 Hospital, San Juan, PR, CCN 400019

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18605PRMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centro Radiologico de la Montana PSC CurrentSince Sep 15, 2025 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.