Individual provider Active NPI

Lionel David Vazquez-Figueroa, MD

  • Neurology with Special Qualifications in Child Neurology Physician
  • San Juan, PR
National Provider Identifier
1902259294
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
35557 Issued in PR
Practice address
Av Americo Miranda S/N Centro Medico
San Juan, PR 00935-2842
Phone
(787) 474-0333
Fax
(787) 753-6390
NPI assigned
Jul 21, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 15282 PR
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 036.172386 IL
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 35557 PR Primary
Pediatrics Physician 208000000X 036.172386 IL

Addresses

Primary practice location

Av Americo Miranda S/N Centro Medico
San Juan, PR 00935-2842

Mailing address

1500 Ave Los Romeros Apt 404
San Juan, PR 00926-7013
Phone (787) 923-6175

Other practice location 1

400 N 9th St Fl 4
Springfield, IL 62702-5310
Phone (217) 545-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, SD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241029001278 IL Practitioner - NeurologyPractitioner - Pediatric Medicine 0446783575 Reassigns benefits to 1 organization
I20250122003697 SD Practitioner - Neurology 0446783575 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.172386ILMDPediatrics Physician
15282PRMDPediatrics Physician
35557PRMDNeurology with Special Qualifications in Child Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Siu Physicians & Surgeons, Inc Single Specialty CurrentSince Oct 21, 2024 Accepting new patients
Monument Health Rapid City Hospital Inc CurrentSince Nov 19, 2024 Accepting new patients
Monument Health Rapid City Hospital, Inc Single Specialty Current Accepting new patients
Monument Health Rapid City Hospital, Inc. CurrentSince Nov 19, 2024 Accepting new patients
Siu Physicians & Surgeons, Inc CurrentSince Oct 21, 2024 Accepting new patients
Siu Physicians & Surgeons, Inc Pediatrics Past Accepting new patients

Locations

400 N 9th St
Fl 4
Springfield, IL 62702

751 N Rutledge St
Springfield, IL 62702
Phone (217) 545-0182

400 N 9th St
Springfield, IL 62702
Phone (217) 545-6498

353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1469059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1902259294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 AVE LOS ROMEROS APT 404",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009267013",
            "telephone_number": "787-923-6175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AV AMERICO MIRANDA S/N CENTRO MEDICO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009352842",
            "telephone_number": "787-474-0333",
            "fax_number": "787-753-6390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 N 9th St Fl 4",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "IL",
            "postal_code": "627025310",
            "country_code": "US",
            "telephone_number": "217-545-8000",
            "fax_number": "217-545-1036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAZQUEZ-FIGUEROA",
        "first_name": "LIONEL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-21",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "15282",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "IL",
            "license": "036.172386",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "PR",
            "license": "35557",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036.172386",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.