DR. IDEL A VAZQUEZ M.D.
NPI 1699868315
General Practice in San Juan, PR

Active since October 02, 2006PECOS Enrolled
SGT. LUIS MEDINA ST. #361, EXT. ROOSEVELT, SAN JUAN, PR 00918(787) 484-5643(787) 259-9156 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Idel A Vazquez M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. IDEL A VAZQUEZ M.D. (NPI 1699868315) is an individual general practice provider in San Juan, Puerto Rico, licensed in Puerto Rico (16214) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699868315
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. IDEL A VAZQUEZCredential: M.D.
Location AddressSGT. LUIS MEDINA ST. #361, EXT. ROOSEVELTSan Juan, PR 00918
Mailing Address138 Ave Winston ChurchillSan Juan, PR 00926-6013 · (787) 840-1053 · Fax (787) 844-4189
Fax(787) 259-9156
Sole ProprietorYes
Enumeration DateOctober 2, 2006
Last NPPES UpdateMarch 7, 2023
NPI 1699868315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in PR · 16214
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Other Identifiers 1

Other16214PR · State License Tem

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Idel A Vazquez M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Idel Vazquez's NPI number?

The NPI number for Idel Vazquez is 1699868315. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Idel Vazquez located?

Idel Vazquez practices at Sgt. Luis Medina St. #361 Ext. Roosevelt, San Juan, PR 00918. The listed phone number is (787) 484-5643.

What is Idel Vazquez's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Idel Vazquez enrolled in Medicare?

Yes. Idel Vazquez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Idel Vazquez was last updated on March 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.