Individual provider Active NPI

Luis Angel Vazquez Hernandez, MD

  • General Practice Physician
  • Aguadilla, PR
National Provider Identifier
1831878719
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
023390 Issued in PR
Practice address
Carr. #2, KM. 119.2, Interior, Caimital Alto
Aguadilla, PR 00603
Phone
(787) 658-6502
NPI assigned
Jul 17, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 023390 PR Primary

Addresses

Primary practice location

Carr. #2, KM. 119.2, Interior, Caimital Alto
Aguadilla, PR 00603

Mailing address

227 Calle Opalo
Moca, PR 00676-5416
Phone (787) 477-5295

Other practice location 1

15 Calle Dr Basora N
Mayaguez, PR 00680-4833
Phone (787) 832-0101

Other practice location 2

126 Calle Pavia Fernandez
San Sebastian, PR 00685-2285
Phone (787) 280-3553

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
I20231108001113 PR Practitioner - General Practice 3072960574 Practice locations: Aguadilla, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
023390PRMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1831878719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 CALLE OPALO",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "006765416",
            "telephone_number": "787-477-5295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. #2, KM. 119.2, INTERIOR, CAIMITAL ALTO",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00603",
            "telephone_number": "787-658-6502"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Calle Dr Basora N",
            "address_purpose": "LOCATION",
            "city": "Mayaguez",
            "state": "PR",
            "postal_code": "006804833",
            "country_code": "US",
            "telephone_number": "787-832-0101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "126 Calle Pavia Fernandez",
            "address_purpose": "LOCATION",
            "city": "San Sebastian",
            "state": "PR",
            "postal_code": "006852285",
            "country_code": "US",
            "telephone_number": "787-280-3553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAZQUEZ HERNANDEZ",
        "first_name": "LUIS",
        "middle_name": "ANGEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-08-08",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "023390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguadilla, PR

Sources for this page

Verify at the official NPI Registry.