Active NPI
Raul Vazquez, DC
- Chiropractor
- San Juan, PR
National Provider Identifier
1861155418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 000792
- Practice address
- Reparto Metropolitano Calle 28 SE 967
San Juan, PR 00921 - Phone
- (787) 949-8434
- NPI assigned
- Oct 20, 2021
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 000792 | PR | Primary |
Addresses
Primary practice location
Reparto Metropolitano Calle 28 SE 967
San Juan, PR 00921
Mailing address
405 Ave Esmeralda Ste 2-601
Guaynabo, PR 00969-4427
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230508000093 | PR | Practitioner - Chiropractic | 9537524095 | Practice locations: Levittown, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000792 | PR | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634688000000",
"number": "1861155418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 AVE ESMERALDA STE 2-601",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009694427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "REPARTO METROPOLITANO CALLE 28 SE 967",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00921",
"telephone_number": "787-949-8434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAZQUEZ",
"first_name": "RAUL",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-10-20",
"last_updated": "2021-10-20",
"certification_date": "2021-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PR",
"license": "000792",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.