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DR. JORGE SALVADOR VAZQUEZ M.D. M.D.
NPI 1730484908
General Practice in Lake Ridge, VA

Active since January 20, 2011PECOS Enrolled
12214 OAKWOOD DR, LAKE RIDGE, VA 22192(703) 490-8216(703) 497-1547 Get Directions Write a Review

NPPES record last updated: January 20, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jorge Salvador Vazquez M.d. M.d. NPPES

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

DR. JORGE SALVADOR VAZQUEZ M.D. M.D. (NPI 1730484908) is an individual general practice provider in Lake Ridge, Virginia, licensed in Puerto Rico (12669) and active in the NPI registry since January 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730484908
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. JORGE SALVADOR VAZQUEZ M.D.Credential: M.D.
Location Address12214 OAKWOOD DRLake Ridge, VA 22192-1910
Mailing Address12214 Oakwood DrLake Ridge, VA 22192-1910 · (703) 490-8216 · Fax (703) 497-1547
Phone(703) 490-8216
Fax(703) 497-1547
Sole ProprietorNo
Enumeration DateJanuary 20, 2011
✔ NPI 1730484908 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 · 12669
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
12214 OAKWOOD DR, Lake Ridge, VA 22192
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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. Jorge Salvador Vazquez M.d. 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 Jorge Vazquez M.d.'s NPI number?

The NPI number for Jorge Vazquez M.d. is 1730484908. It was assigned to this individual provider in the NPPES registry on January 20, 2011.

Where is Jorge Vazquez M.d. located?

Jorge Vazquez M.d. practices at 12214 Oakwood Dr, Lake Ridge, VA 22192. The listed phone number is (703) 490-8216.

What is Jorge Vazquez M.d.'s specialty?

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

Is Jorge Vazquez M.d. enrolled in Medicare?

Yes. Jorge Vazquez M.d. is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jorge Vazquez M.d. was last updated on January 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.