Individual provider Active NPI

Heriberto Vazquez Sanchez, O.D.

  • Corneal and Contact Management Optometrist
  • Trujillo Alto, PR
National Provider Identifier
1841492857
Registry record updated Jan 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
463-0092 Issued in PR
Practice address
Econo Mega I Expreso Trujillo Alto
Carr 181 KM 4.2 Bo Las Cuevas
Trujillo Alto, PR 00976
Phone
(787) 293-0915
NPI assigned
Jun 1, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 463-0092 PR Primary

Addresses

Primary practice location

Econo Mega I Expreso Trujillo Alto
Carr 181 KM 4.2 Bo Las Cuevas
Trujillo Alto, PR 00976

Mailing address

73 St. BLQ. 85-5
Sierra Bayamon
Bayamon, PR 00961
Phone (787) 293-0915

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090826000838 PR Practitioner - Optometry 3375698368 Practice locations: Trujillo Alto, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
463-0092PRMDCorneal and Contact Management Optometrist
463PRMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Inter American University of Puerto Rico Corneal and Contact Management Past Accepting new patients

Organizations & group practices 1

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": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516752000000",
    "number": "1841492857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 ST. BLQ. 85-5",
            "address_2": "SIERRA BAYAMON",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00961",
            "telephone_number": "787-293-0915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ECONO MEGA I EXPRESO TRUJILLO ALTO",
            "address_2": "CARR 181 KM 4.2 BO LAS CUEVAS",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "00976",
            "telephone_number": "787-293-0915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ SANCHEZ",
        "first_name": "HERIBERTO",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-01",
        "last_updated": "2018-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "PR",
            "license": "463-0092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trujillo Alto, PR

Sources for this page

Verify at the official NPI Registry.