Damaris M Vazquez, LND

Primary specialty

Dietary ManagerTaxonomy code 132700000X

License

942 Issued in PR

Practice address

Pradera St.
162 Estacia de la Fuente
Toa Alta, PR 00953-3619

Phone

(787) 467-6874

Fax

(787) 251-4993

NPI assigned

Jan 5, 2011

Last updated

Jan 5, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• PR Renal Health and Research Inc.

  • Multi-Specialty Clinic/Center
  • Levittown, PR
  • NPI 1083923114
  NPD

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

{
    "created_epoch": "1294185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294185600000",
    "number": "1861796872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "STREET PRADERA # 162 ESTACIA DE LA FUENTE 00953",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "009533619",
            "telephone_number": "787-467-6874",
            "fax_number": "787-251-4993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PRADERA ST.",
            "address_2": "162 ESTACIA DE LA FUENTE",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "009533619",
            "telephone_number": "787-467-6874",
            "fax_number": "787-251-4993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ",
        "first_name": "DAMARIS",
        "middle_name": "M",
        "credential": "LND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-05",
        "last_updated": "2011-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "132700000X",
            "taxonomy_group": "",
            "desc": "Dietary Manager",
            "state": "PR",
            "license": "942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luis Alfredo Valentin, MA
• Nabila Maher Valles, PHARMD
• Victor M Vazquez-Moreno, MD
• Alexandra Vazquez
• Bridget Jarinelle Vazquez, MT
• Wilda E Vega-Soto, M.D.
• Yancey Vega
• Annette Velez
• Edwin Velez, M.D.
• Emerito Ventura Sr., MD

• Dietary Manager in Toa Alta, PR
• Providers in Toa Alta, PR by specialty
• Dietary Manager in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2011; 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.