Individual provider Active NPI

Lilliam Vazquez, B.S.N.

  • Registered Nurse
  • Ponce, PR
National Provider Identifier
1871801845
Registry record updated Sep 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
2223 Issued in PR
Practice address
Centro Metadona de Ponce Rd#14 Bo Machuelo
Ponce, PR 00732-7321
Phone
(787) 840-6935
NPI assigned
Sep 23, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 2223 PR Primary

Addresses

Primary practice location

Centro Metadona de Ponce Rd#14 Bo Machuelo
Ponce, PR 00732-7321

Mailing address

Assmca Metadona de Ponce Rd#14 Bo Machuelos
Ponce, PR 00732-7321
Phone (787) 840-6935

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor on Science - Nursing

State licenses

LicenseStateTypeSpecialty
2223PRMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1285200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285200000000",
    "number": "1871801845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ASSMCA METADONA DE PONCE RD#14 BO MACHUELOS",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007327321",
            "telephone_number": "787-840-6935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTRO METADONA DE PONCE RD#14 BO MACHUELO",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007327321",
            "telephone_number": "787-840-6935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ",
        "first_name": "LILLIAM",
        "name_prefix": "Mrs.",
        "credential": "B.S.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-23",
        "last_updated": "2010-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PR",
            "license": "2223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2010; 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.