Active NPI
Luis Angel Vazquez Hernandez, MD
- General Practice Physician
- Aguadilla, PR
National Provider Identifier
1831878719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 023390
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 023390 | PR | MD | General 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.