Rafael Elisban Vazquez, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

14670 Issued in PR

Practice address

Ave. Roberto Clemente
BLQ 111 Local 1, #50
Carolina, PR 00985

Phone

(787) 776-9400

Fax

(787) 776-9700

NPI assigned

Feb 3, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• New Vision Medical Diagnostics LLC

  • Multi-Specialty Clinic/Center
  • Bayamon, PR
  • NPI 1659503795
  Medicare reassignment NPD
• New Vision Medical Diagnostic LLC

  • Primary Care Clinic/Center
  • Bayamon, PR
  • NPI 1891043337

  General Practice

  NPD
• Corozo Health & Prescription Center Inc

  • Durable Medical Equipment & Medical Supplies
  • Vega Alta, PR
  • NPI 1790066470
  NPD (past)

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315958400000",
    "number": "1912979063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 CALLE MARBELLA",
            "address_2": "MANSIONES DE VISTAMAR MARINA",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009831592",
            "telephone_number": "787-776-9400",
            "fax_number": "787-776-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. ROBERTO CLEMENTE",
            "address_2": "BLQ 111 LOCAL 1, #50",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00985",
            "telephone_number": "787-776-9400",
            "fax_number": "787-776-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ",
        "first_name": "RAFAEL",
        "middle_name": "ELISBAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2011-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "14670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ivelisse Vazquez
• Janessa Vazquez
• Keycha Vazquez
• Luz Marlyn Vazquez
• Melissa Vazquez, LND
• Yeiralee Vazquez
• Quetcy Alma Vega Garcia
• Berbelyze Nomar Vega Gonzalez, PHAM.D.
• Carlos Javier Vega Rivera, D.C
• Raul Vega-Ginorio, M.T.

• General Practice Physician in Carolina, PR
• Providers in Carolina, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.