DR. RAFAEL ELISBAN VAZQUEZ M.D.
NPI 1912979063
General Practice in Carolina, PR

Active since February 03, 2006PECOS Enrolled
AVE. ROBERTO CLEMENTE, BLQ 111 LOCAL 1, #50, CAROLINA, PR 00985(787) 776-9400(787) 776-9700 Get Directions Write a Review

NPPES record last updated: September 14, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Rafael Elisban Vazquez M.d. NPPES

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

DR. RAFAEL ELISBAN VAZQUEZ M.D. (NPI 1912979063) is an individual general practice provider in Carolina, Puerto Rico, licensed in Puerto Rico (14670) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912979063
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. RAFAEL ELISBAN VAZQUEZCredential: M.D.
Location AddressAVE. ROBERTO CLEMENTE, BLQ 111 LOCAL 1, #50Carolina, PR 00985
Mailing Address1508 Calle Marbella, Mansiones De Vistamar MarinaCarolina, PR 00983-1592 · (787) 776-9400 · Fax (787) 776-9700
Fax(787) 776-9700
Sole ProprietorYes
Enumeration DateFebruary 3, 2006
Last NPPES UpdateSeptember 14, 2011
✔ NPI 1912979063 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 · 14670
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
AVE. ROBERTO CLEMENTE, Carolina, PR 00985

Other Identifiers 2

Medicare ID-Type Unspecified002-1339PR
Medicare UPINI-02097PR

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Rafael Elisban 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 Rafael Vazquez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Multi-Specialty
CALLE BARBOSA #36, ESQUINA MANUEL F ROSSY
Bayamon, PR 00960
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 12 clinicians in this Medicare group

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

Other Providers at the Same Location NPPES 2

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

Dentist (General Practice)
AVE. ROBERTO CLEMENTE, 24-8 VILLA CAROLINA
CAROLINA, PR 00985
General Practice
AVE. ROBERTO CLEMENTE, BLQ 111 LOCAL 1, #50
CAROLINA, PR 00985

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 Rafael Vazquez's NPI number?

The NPI number for Rafael Vazquez is 1912979063. It was assigned to this individual provider in the NPPES registry on February 3, 2006.

Where is Rafael Vazquez located?

Rafael Vazquez practices at Ave. Roberto Clemente Blq 111 Local 1, #50, Carolina, PR 00985. The listed phone number is (787) 776-9400.

What is Rafael Vazquez's specialty?

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

Is Rafael Vazquez enrolled in Medicare?

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

Which organization bills Medicare for Rafael Vazquez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rafael Vazquez reassigns Medicare benefits to New Vision Medical Diagnostics LLC (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 Rafael 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 Rafael Vazquez was last updated on September 14, 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.