Active NPI
Rafael E Resto Vazquez
- General Practice Physician
- Vega Alta, PR
National Provider Identifier
1982291563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 22449
- Practice address
- Bo Santa Rosa, Calle Faisan Interior #12
Vega Alta, PR 00692 - Phone
- (407) 490-6279
- NPI assigned
- Dec 29, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 22449 | PR | Primary |
Addresses
Primary practice location
Bo Santa Rosa, Calle Faisan Interior #12
Vega Alta, PR 00692
Mailing address
PO Box 3212
Vega Alta, PR 00692-3212
Phone (407) 490-6279
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211020000425 | PR | Practitioner - General Practice | 6608264981 | Practice locations: Vega Alta, PR |
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Bo Santa Rosa Calle Faisan Interior
Vega Alta, PR 00692
Phone (407) 490-6279
PO Box
Suite 3212
Vega Alta, PR 00692
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22449 | PR | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630368000000",
"number": "1982291563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3212",
"city": "VEGA ALTA",
"state": "PR",
"postal_code": "006923212",
"telephone_number": "407-490-6279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BO SANTA ROSA, CALLE FAISAN INTERIOR #12",
"city": "VEGA ALTA",
"state": "PR",
"postal_code": "00692",
"telephone_number": "407-490-6279"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RESTO VAZQUEZ",
"first_name": "RAFAEL",
"middle_name": "E",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-12-29",
"last_updated": "2021-08-31",
"certification_date": "2021-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "22449",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vega Alta, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.