Individual provider Active NPI

Carlos E Vazquez Sosa, M.D.

  • Interventional Cardiology Physician
  • San Juan, PR
National Provider Identifier
1902219876
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
23151 Issued in PR
Practice address
1492 Ave Ponce de Leon, Edificio Centro Europa
Suites 717 & 500
San Juan, PR 00907
Phone
(787) 723-5017
Fax
(787) 723-5015
NPI assigned
Jun 8, 2014
Last updated
Jun 28, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 23151 PR
Vascular & Interventional Radiology Physician 2085R0204X 23151 PR
Interventional Cardiology Physician 207RI0011X 23151 PR Primary

Addresses

Primary practice location

1492 Ave Ponce de Leon, Edificio Centro Europa
Suites 717 & 500
San Juan, PR 00907

Mailing address

PO Box 11577
Fernandez Juncos Station
San Juan, PR 00910
Phone (787) 723-5017

Other practice location 1

55 Fruit St
Boston, MA 02114-2696
Phone (617) 726-2000

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230901000609 PR Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 8426329426 Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
San Juan Bautista School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1492 Ave Ponce de Leon
San Juan, PR 00907-4012
Phone (787) 723-5017

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting40
Leg revascularization (restoring blood flow)20

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiomed LLC Cardiovascular Disease CurrentSince Jun 25, 2023 Accepting new patients
Cardiovascular Healthcare LLC Cardiovascular Disease CurrentSince Jun 25, 2023 Accepting new patients

Locations

1492 Ave Ponce de Leon
Ste 717
Santurce, PR 00907
Phone (787) 462-0646

Interoperability endpoints

  • Direct secure messaging: carlos.vazquezsosa@3390.securemail.prognocis.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1402185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1902219876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11577",
            "address_2": "FERNANDEZ JUNCOS STATION",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00910",
            "telephone_number": "787-723-5017",
            "fax_number": "787-723-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1492 AVE PONCE DE LEON, EDIFICIO CENTRO EUROPA",
            "address_2": "SUITES 717 & 500",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00907",
            "telephone_number": "787-723-5017",
            "fax_number": "787-723-5015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Fruit St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021142696",
            "country_code": "US",
            "telephone_number": "617-726-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAZQUEZ SOSA",
        "first_name": "CARLOS",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-08",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "23151",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "PR",
            "license": "23151",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "PR",
            "license": "23151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.