Individual provider Active NPI

Luz DS Feliciano Vazquez, DC

  • Chiropractor
  • Caguas, PR
National Provider Identifier
1922728831
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
859 Issued in PR
Practice address
Carr Est Num 1 KM 26.9 Bo. Rio Canas
Local Num 2
Caguas, PR 00725-0001
Phone
(787) 237-7757
NPI assigned
Aug 31, 2022
Last updated
Jul 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 859 PR Primary

Addresses

Primary practice location

Carr Est Num 1 KM 26.9 Bo. Rio Canas
Local Num 2
Caguas, PR 00725-0001

Mailing address

PO Box 9477
Caguas, PR 00726-9477

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240814000448 PR Practitioner - Chiropractic 4688112253 Practice locations: Caguas, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
859PRMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1661904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1922728831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9477",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007269477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR EST NUM 1 KM 26.9 BO. RIO CANAS",
            "address_2": "LOCAL NUM 2",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007250001",
            "telephone_number": "787-237-7757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELICIANO VAZQUEZ",
        "first_name": "LUZ",
        "middle_name": "DS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-31",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PR",
            "license": "859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.