Active NPIIndividual provider

Jose M Gomez Vazquez, MD

General Practice in Santurce, Puerto Rico

NPI Number1467916783
Practice location
Santurce Medical Mall, 1801 Ave Ponce De Leon Suite 101 B, Santurce, PR 00921
Fax
787-728-6093
Last updated
January 31, 2019

Jose Manuel Gomez Vazquez is a General Practice based in Santurce, PR. Jose Manuel Gomez Vazquez practices in Santurce, PR and has the professional credentials of MD. The NPI Number for Jose Manuel Gomez Vazquez is 1467916783 and holds a License No. 21210 (PR). The current practice location address for Jose Manuel Gomez Vazquez is Santurce Medical Mall, 1801 Ave Ponce De Leon Suite 101 B, Santurce, PR 00921 and can be reached out via phone at 787-728-6093 and via fax at 787-728-6093.

Provider Profile Details

NPI Number
1467916783
Provider Name
Jose Manuel Gomez Vazquez
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
Santurce Medical Mall, 1801 Ave Ponce De Leon Suite 101 B, Santurce, PR 00921
Phone Number
787-728-6093
Fax Number
787-728-6093
Primary Taxonomy
General Practice · 208D00000X
Sole Proprietor
No
Provider Enumeration Date
January 31, 2019
Last Update Date
January 31, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
Santurce Medical Mall
1801 Ave Ponce De Leon Suite 101 B
Santurce, PR 00921
Zip
00921
Phone Number
787-728-6093
Fax Number
787-728-6093
Santurce, PR 00921Get directions →

Provider Business Mailing Address Details

Address
Po Box 367083
San Juan, PR 00936-7083
City
San Juan
State
PR
Zip
00936-7083
Phone Number
787-226-8890
Fax Number
787-728-6093

License Information

License Number
21210
License State
PR
Taxonomy
General Practice · 208D00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jose M Gomez Vazquez, MD?

The NPI number of Jose M Gomez Vazquez, MD is 1467916783. It was assigned on January 31, 2019 and is currently active in the NPPES registry.

What is the specialty of Jose M Gomez Vazquez, MD?

Jose M Gomez Vazquez, MD is registered under the primary taxonomy General Practice (code 208D00000X), licensed in PR under license number 21210.

Where does Jose M Gomez Vazquez, MD practice?

The practice location is Santurce Medical Mall, 1801 Ave Ponce De Leon Suite 101 B, Santurce, PR 00921. The office can be reached at 787-728-6093 (phone) or 787-728-6093 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1467916783 directly on the NPPES registry website.

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