Organization Active NPI

Neumovida PSC

  • Pulmonary Disease Physician
  • Dorado, PR
National Provider Identifier
1871515460
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
NEUMOVIDA PSC
Practice address
503 Camino de Cambalache
Dorado, PR 00646-3643
Phone
(787) 780-2877
Fax
(787) 780-2878
NPI assigned
Jul 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Hyrza Vazquez, MD
Title
Owner
Phone
(787) 780-2877

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X Primary

Addresses

Primary practice location

503 Camino de Cambalache
Dorado, PR 00646-3643

Mailing address

503 Camino de Cambalache
Dorado, PR 00646-3643
Phone (787) 780-2877

Other identifiers 1

IdentifierTypeStateIssuer
1871515460MedicaidPR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080512000530 PR Part B Supplier - Clinic/Group Practice 5597844860 Receives reassigned benefits from 1 practitioner
Practice locations: Bayamon, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1871515460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 CAMINO DE CAMBALACHE",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006463643",
            "telephone_number": "787-780-2877",
            "fax_number": "787-780-2878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 CAMINO DE CAMBALACHE",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006463643",
            "telephone_number": "787-780-2877",
            "fax_number": "787-780-2878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUMOVIDA PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-24",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ",
        "authorized_official_first_name": "HYRZA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-780-2877",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871515460",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dorado, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.

Verify at the official NPI Registry.