Pedro-Juan Vazquez Bragan, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

15625I Issued in PR

Practice address

Hospital San Cristobal, Calle Acerola, Coto Laurel
Ponce, PR 00780

Phone

(787) 842-2100

NPI assigned

Jul 30, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627603200000",
    "number": "1851064307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 PR 2 ACQUALINA 801",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00966",
            "telephone_number": "787-342-3026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HOSPITAL SAN CRISTOBAL, CALLE ACEROLA, COTO LAUREL",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00780",
            "telephone_number": "787-842-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ BRAGAN",
        "first_name": "PEDRO-JUAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-30",
        "last_updated": "2021-07-30",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PR",
            "license": "22447",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15625I",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL INTERN AT HOSPITAL SAN CRISTOBAL",
            "identifier": "15625I",
            "state": "PR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://hospitalsancristobalpr.com/",
            "affiliation": "N",
            "address_1": "Hospital San Cristobal, Calle Acerola, Coto Laurel",
            "city": "Ponce",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00780",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.e2medicina.com",
            "affiliation": "N",
            "address_1": "Hospital San Cristobal, Calle Acerola, Coto Laurel",
            "city": "Ponce",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Julmarie Vargas, OT
• Stephanie Crooke Vargas
• Wanda Vargas, R.N.
• Evanie Marie Vasquez Laboy
• Vanessa Lorraine Vasquez
• Neysha Tatiana Vazquez Diaz
• Geraline Noemi Vazquez Gonzalez, PSYD
• Maria Cristina Vazquez Machado
• Jayson Vazquez Mercado, M.D.
• Yarelis Marie Vazquez Perez, M.D.

• General Practice Physician in Ponce, PR
• Providers in Ponce, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.