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LUIS ANTONIO IVAN VAZQUEZ ZUBILLAGA M.D.
NPI 1891177424
Internal Medicine - Nephrology in Ponce, PR

Active since June 19, 2015PECOS EnrolledAccepts Medicare Assignment
1203 AVE MUNOZ RIVERA, PONCE, PR 00717(787) 238-2164 Get Directions Write a Review

NPPES record last updated: August 23, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 23, 2022, Feb 3, 2020, Mar 26, 2018 (3 updates tracked since 2018).

About Luis Antonio Ivan Vazquez Zubillaga M.d. NPPES

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

LUIS ANTONIO IVAN VAZQUEZ ZUBILLAGA M.D. (NPI 1891177424) is an individual nephrology provider in Ponce, Puerto Rico, licensed in Puerto Rico (021276) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with Hospital Menonita Humacao, Inc, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1891177424
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameLUIS ANTONIO IVAN VAZQUEZ ZUBILLAGACredential: M.D.
Location Address1203 AVE MUNOZ RIVERAPonce, PR 00717-0634
Mailing AddressPo Box 190152San Juan, PR 00919-0152 · (787) 238-2164
Phone(787) 238-2164
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateJune 19, 2015
Last NPPES UpdateAugust 23, 20223 updates tracked since enumeration
NPPES CertifiedAugust 23, 2022
✔ NPI 1891177424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in PR · 021276
Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Also ListedInternal MedicineTaxonomy 207R00000X · License 21276 (PR)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 021276 (PR)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 31694-R (PR)

Secondary Practice Locations 2

Location 12213 ave ponce by passponce, PR 00717-1318 · Phone (787) 840-2395
Location 21611 NW 12th AveMiami, FL 33136-1096 · Phone (787) 238-2164

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Luis Antonio Ivan Vazquez Zubillaga M.d. 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 ID1658700802
PECOS Enrollment IDI20200409000373
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hospital Menonita Humacao, Inc

Acute Care Hospitals · Humacao, PR
OwnershipProprietary
CMS Certification Number400011
Location300 Ave Font MartelloHumacao, PR 00792 · Humacao County
Emergency services

Hospital Menonita Caguas Inc

Acute Care Hospitals · Caguas, PR
OwnershipVoluntary non-profit - Private
CMS Certification Number400104
LocationCarr 172 Exit 21 Urb Turabo GardensCaguas, PR 00725 · Caguas County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00717 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.65 typical visit price
range $56.86 – $172.44
Typical copayment $32.66 (range $14.21 – $43.11)
Most-billed visit code 99204
Established Patient
$100.24 typical visit price
range $18.24 – $140.44
Typical copayment $25.06 (range $4.56 – $35.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FRANCIS VAZQUEZ ROURA MD
Internal Medicine (Nephrology)
1203 AVE MUNOZ RIVERA, VILLA GRILLASCA
PONCE, PR 00717
Ponce Municipio (787) 843-4588
DAIANA FERNANDEZ GONZALEZ MD
Pediatrics
1203 AVE MUNOZ RIVERA, VILLA MRILLASCA
PONCE, PR 00717
Ponce Municipio (787) 843-4588
SOUTH KIDNEY CARE LLC
Internal Medicine (Nephrology)
1203 AVE MUNOZ RIVERA
PONCE, PR 00717
Ponce Municipio (787) 843-4588
NAHOMIE IVETTE VEGUILLA RIVERA MD
Internal Medicine (Nephrology)
1203 AVE MUNOZ RIVERA
PONCE, PR 00717
Ponce Municipio (787) 843-4588

Frequently Asked Questions

What is Luis Vazquez Zubillaga's NPI number?

The NPI number assigned to this healthcare provider is 1891177424, enumerated as an "individual" on June 19, 2015.

Where is the provider located?

The provider is located at 1203 AVE MUNOZ RIVERA PONCE, PR 00717 and the phone number is (787) 238-2164.

What is the provider's specialty?

Internal Medicine with taxonomy code 207RN0300X and a focus in Nephrology.

Is Luis Vazquez Zubillaga affiliated with any hospitals?

Luis Vazquez Zubillaga is affiliated with: HOSPITAL MENONITA HUMACAO, INC and HOSPITAL MENONITA CAGUAS INC.