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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: October 18, 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
Phone(787) 484-5643
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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Idel Vazquez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Centro Medico Central Coto Laurel, Inc
Specialist
103 CALLE CENTRAL
Coto Laurel, PR 00780
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 2 clinicians in this Medicare group
NPI 1679529648 (787) 842-7856

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organization bills Medicare for Idel Vazquez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Idel Vazquez reassigns Medicare benefits to Centro Medico Central Coto Laurel, Inc (Coto Laurel, PR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Idel Vazquez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Idel Vazquez was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.