Individual provider Active NPI

Rafael O. Rodriguez Vazquez, M.D.

  • General Practice Physician
  • Vega Baja, PR
National Provider Identifier
1841276151
Registry record updated Sep 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
14500 Issued in PR
Practice address
113 Calle Marginal
Urb. Montecarlos
Vega Baja, PR 00693-4218
Phone
(787) 855-2749
Fax
(787) 855-3652
NPI assigned
Dec 19, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2010

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 14500 PR Primary

Addresses

Primary practice location

113 Calle Marginal
Urb. Montecarlos
Vega Baja, PR 00693-4218

Mailing address

PO Box 2710
Vega Baja, PR 00694-2710
Phone (787) 807-7178

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
I20131118000889 PR Practitioner - General Practice 5496981680 Reassigns benefits to 1 organization
Practice locations: Vega Baja, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14500PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Laboratorio Clinico Y Bacteriologico Nazaret Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285718400000",
    "number": "1841276151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2710",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006942710",
            "telephone_number": "787-807-7178",
            "fax_number": "787-855-3652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 CALLE MARGINAL",
            "address_2": "URB. MONTECARLOS",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006934218",
            "telephone_number": "787-855-2749",
            "fax_number": "787-855-3652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ VAZQUEZ",
        "first_name": "RAFAEL",
        "middle_name": "O.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-19",
        "last_updated": "2010-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "14500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vega Baja, PR

Sources for this page

Verify at the official NPI Registry.