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AGUSTIN VAZQUEZ RODRIGUEZ
NPI 1750909495
General Practice in Bayamon, PR

Active since July 09, 2020PECOS EnrolledAccepts Medicare Assignment
CARR 167 KM 10.9, BAYAMON, PR 00956(787) 730-3446 Get Directions Write a Review

NPPES record last updated: March 26, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 26, 2025, Jul 9, 2020 (2 updates tracked since 2020).

About Agustin Vazquez Rodriguez NPPES

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

AGUSTIN VAZQUEZ RODRIGUEZ (NPI 1750909495) is an individual general practice provider in Bayamon, Puerto Rico, licensed in Puerto Rico (24006) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1750909495
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameAGUSTIN VAZQUEZ RODRIGUEZ
Location AddressCARR 167 KM 10.9Bayamon, PR 00956
Mailing AddressCarr 167 Km 10.9Bayamon, PR 00956 · (787) 730-3446
Phone(787) 730-3446
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 9, 2020
Last NPPES UpdateMarch 26, 20252 updates tracked since enumeration
NPPES CertifiedMarch 25, 2025
✔ NPI 1750909495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in PR · 24006
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
Also ListedPhysician AssistantTaxonomy 363A00000X · License 24006 (PR)

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Agustin Vazquez Rodriguez is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062938673
PECOS Enrollment IDI20250428001348
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 Agustin Vazquez Rodriguez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Salud Integral En La Montana, Inc.
Clinic/Center
CALLE SANTA CRUZ #57
Bayamon, PR 00961
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 81 clinicians in this Medicare group
NPI 1013777622 (787) 869-5900

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 Agustin Vazquez Rodriguez's NPI number?

The NPI number for Agustin Vazquez Rodriguez is 1750909495. It was assigned to this individual provider in the NPPES registry on July 9, 2020.

Where is Agustin Vazquez Rodriguez located?

Agustin Vazquez Rodriguez practices at Carr 167 Km 10.9, Bayamon, PR 00956. The listed phone number is (787) 730-3446.

What is Agustin Vazquez Rodriguez's specialty?

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

Is Agustin Vazquez Rodriguez enrolled in Medicare?

Yes. Agustin Vazquez Rodriguez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Agustin Vazquez Rodriguez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Agustin Vazquez Rodriguez reassigns Medicare benefits to Salud Integral En La Montana, Inc. (Bayamon, 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 Agustin Vazquez Rodriguez'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 Agustin Vazquez Rodriguez was last updated on March 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.