Individual provider Active NPI

Jose Bernardo Vazquez-Tanus, M.D.

  • Cardiovascular Disease Physician
  • Ponce, PR
National Provider Identifier
1902916893
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
07913 Issued in PR
Practice address
2225 Ponce Byp
Parra Medical Institute Suite 707
Ponce, PR 00717-1321
Phone
(787) 259-0526
Fax
(787) 259-0546
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 07913 PR Primary
Cardiovascular Disease Physician 207RC0000X 4301071361 MI

Addresses

Primary practice location

2225 Ponce Byp
Parra Medical Institute Suite 707
Ponce, PR 00717-1321

Mailing address

2225 Ponce Byp
Parra Medical Institute Suite 707
Ponce, PR 00717-1321
Phone (787) 259-0526

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
I20070830000270 PR Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 0648363036 Practice locations: Ponce, PR

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2225 Ponce by Pass
Parra Medical Building Suite 707
Ponce, PR 00717-1322

2225 Ponce Bypass
Ponce, PR 00717-1322

Hospital & facility affiliations

  • Hospital Damas Inc Hospital, Ponce, PR, CCN 400022

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301071361MIMDCardiovascular Disease Physician
07913PRMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Asociacion Cardiovascular del Sur de Puerto Rico, Inc. Cardiovascular Disease PastSince Dec 18, 2016 Accepting new patients
Cardiodynamics Cardiovascular Disease Past Accepting new patients

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 and National Provider Directory roles.

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902916893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 PONCE BYP",
            "address_2": "PARRA MEDICAL INSTITUTE SUITE 707",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171321",
            "telephone_number": "787-259-0526",
            "fax_number": "787-259-0546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 PONCE BYP",
            "address_2": "PARRA MEDICAL INSTITUTE SUITE 707",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171321",
            "telephone_number": "787-259-0526",
            "fax_number": "787-259-0546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ-TANUS",
        "first_name": "JOSE",
        "middle_name": "BERNARDO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "07913",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301071361",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.