Individual provider Active NPI

Liza B Vazquez Cobian, MD

  • Pediatric Rheumatology Physician
  • Santurce, PR
National Provider Identifier
1982669677
Registry record updated Dec 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Rheumatology PhysicianTaxonomy code 2080P0216X
License
15900 Issued in PR
Practice address
252 Calle Convento
Santurce, PR 00912-3207
Phone
(787) 726-1113
NPI assigned
Apr 18, 2006
Last updated
Dec 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Rheumatology Physician 2080P0216X 15900 PR Primary

Addresses

Primary practice location

252 Calle Convento
Santurce, PR 00912-3207

Mailing address

PMB 211
352 Ave. San Claudio
San Juan, PR 00926-4126
Phone (787) 726-1113

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Centro de Reumatologia Pediatrica de Puerto Rico Pediatric Rheumatology Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sjclvazqu@yourcarecommunity.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608681600000",
    "number": "1982669677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 211",
            "address_2": "352 AVE. SAN CLAUDIO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009264126",
            "telephone_number": "787-726-1113",
            "fax_number": "787-771-7996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 CALLE CONVENTO",
            "city": "SANTURCE",
            "state": "PR",
            "postal_code": "009123207",
            "telephone_number": "787-726-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ COBIAN",
        "first_name": "LIZA",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-18",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0216X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Rheumatology",
            "state": "PR",
            "license": "15900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santurce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.