Luis Antonio Ivan Vazquez Zubillaga, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

021276 Issued in PR

Practice address

1203 Ave Munoz Rivera
Ponce, PR 00717-0634

Phone

(787) 238-2164

NPI assigned

Jun 19, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

NephrologyAlso: Critical Care (Intensivists), Internal Medicine

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Centro de Investigacion Educacion Y Servicios Medicos Para la DiabetesGroup PAC ID 3577476936, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hospital Menonita Humacao, Inc Hospital, Humacao, PR, CCN 400011
• Hospital Menonita Caguas Inc Hospital, Caguas, PR, CCN 400104

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: luis.vazquezzubillaga@2968.securemail.prognocis.com

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

• Centro de Investigacion Educacion Y Servicios Medicos Para la Diabetes

  • Specialist
  • San Juan, PR
  • NPI 1558456616
  Medicare reassignment Care Compare group NPD
• Centro Medico del Turabo Inc

  • Multi-Specialty Clinic/Center
  • Caguas, PR
  • NPI 1710107883
  Medicare reassignment NPD
• Neurocritical Care Physician

  • Neurocritical Care Physician
  • Caguas, PR
  • NPI 1407629918
  Medicare reassignment NPD
• Centro Medico del Turabo Inc

  • Home Infusion Therapy Pharmacy
  • Bayamon, PR
  • NPI 1811632581
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hospital Menonita Caguas Inc

  • General Acute Care Hospital
  • Caguas, PR
  • NPI 1003185455
  Care Compare affiliation
• Hospital Menonita Humacao Inc

  • General Acute Care Hospital
  • Humacao, PR
  • NPI 1578196820
  Care Compare affiliation

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

{
    "created_epoch": "1434672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1891177424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190152",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009190152",
            "telephone_number": "787-238-2164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 AVE MUNOZ RIVERA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007170634",
            "telephone_number": "787-238-2164"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2213 ave ponce by pass",
            "address_purpose": "LOCATION",
            "city": "ponce",
            "state": "PR",
            "postal_code": "007171318",
            "country_code": "US",
            "telephone_number": "787-840-2395",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1611 NW 12th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331361096",
            "country_code": "US",
            "telephone_number": "787-238-2164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAZQUEZ ZUBILLAGA",
        "first_name": "LUIS",
        "middle_name": "ANTONIO IVAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-19",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "21276",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "PR",
            "license": "021276",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PR",
            "license": "31694-R",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PR",
            "license": "021276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Marie Vazquez Silva
• Ivan Javier Vazquez Torres, PSY.D
• Orlando L Vazquez Torres, MD
• Zilka Vazquez Torres
• Ernesto Vazquez Ubides
• Monica Fernanda Vazquez-Diaz, MS
• Amanda Suzette Vazquez-Lloret
• Jose Bernardo Vazquez-Tanus, M.D.
• Carmen S Vazquez, RPH
• Elswee Luis Vazquez

• Nephrology Physician in Ponce, PR
• Providers in Ponce, PR by specialty
• Nephrology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.