DR. VENTZISLAV D VANGUELOV (NPI# 1457359333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457359333 |
| Entity Type | Individual |
| Full Name | DR. VENTZISLAV D VANGUELOV |
| Credential | M.D. |
| Practice Address |
806 W 3rd St San Juan TX 78589 |
| Mailing Address |
Po Box 1689 Pharr TX 78577-1630 |
| Practice Telephone | 9567870787 |
| Mailing Telephone | 9567870787 |
| Mailing Fax Number | 9567872021 |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2018-08-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | L9946 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MEDICARE | TXB133201 | 01 |
| TX | 173021001 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 611 N Bryan Rd, Mission, TX 785726285 | 9565803303 | |
| 801 W 1st St, San Juan, TX 785892276 | 9567878915 |
| Street Address |
806 W 3RD ST |
| City | SAN JUAN |
| State | TX |
| Zip Code | 78589 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598763450 | Kenia Victoria Lee | Nurse Practitioner | 806 W 3rd St, San Juan, TX 78589 | 2005-07-13 |
| 1053728360 | Nuestra Clinica Del Valle, Inc. | Clinic/Center | 806 W 3rd St, San Juan, TX 78589 | 2014-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417598814 | Nueva Vida Primary Home Care LLC | In Home Supportive Care | 213 W. Business 83, San Juan, TX 78589 | 2019-10-07 |
| 1396207858 | Heart To Heart Talks, LLC | Counselor | 409 W. Fm 495, San Juan, TX 78589 | 2019-04-03 |
| 1386131209 | L4 Family Investments, LLC. | Technician | 1709 S Stewart Rd, San Juan, TX 78589 | 2018-04-16 |
| 1558741553 | Paraiso Dental Pllc | Clinic/Center | 1618 N Veterans Blvd Suite A, San Juan, TX 78589 | 2015-06-04 |
| 1811325970 | Liquid Dental, Pllc | Dentist | 105 South Cesar Chavez Road, Suite #2, San Juan, TX 78589 | 2013-10-28 |
| 1598021966 | Kids Dental & Orthodontics | Dentist | 1618 N. I Road Suite A, San Juan, TX 78589 | 2012-04-10 |
| 1003180704 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 100 E Fm 495, San Juan, TX 78589 | 2012-02-28 |
| 1598074932 | Chukwunonso Jideofor Azikiwe | Physical Therapy Assistant | 407 W. State Hwy 495, San Juan, TX 78589 | 2010-10-04 |
| 1093044539 | Melissa Rivera Dds Pa | Dentist | 4500 N Raul Longoria Street, San Juan, TX 78589 | 2009-12-11 |
| 1598995607 | Marivel Lydia Cavazos | Nurse Practitioner | 1211 N. Raul Longoria Ra. Ste C, San Juan, TX 78589 | 2009-07-23 |
| Find all providers in zip 78589 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386265890 | Dfem LLC | Obstetrics & Gynecology | 525 Ave Fd Roosevelt Ofc 701, San Juan, PR 00918-8056 | 2020-05-06 |
| 1306471487 | Phm Specialty Network LLC | Obstetrics & Gynecology | Calle Alda 1551, Urb. Caribe, San Juan, PR 00926 | 2020-03-09 |
| 1396206686 | Idelvais M Pinero Melendez Obstetrics & Gynecology Psc | Obstetrics & Gynecology | 1051 3 Se St La Riviera, Medical Center Plaza 8, San Juan, PR 00929 | 2019-03-28 |
| 1093226995 | Advanced Anti Aging LLC | Obstetrics & Gynecology | 29 Washington Street Ashford Medical Center, Suite 310, San Juan, PR 00907 | 2017-10-18 |
| 1215450507 | Claudia Del Mar Behn | Obstetrics & Gynecology | Calle Gobernador Pinero, Facultad Medica Hospital Municipal San Juan, San Juan, PR 00921 | 2017-07-19 |
| 1225565435 | Valeria Munoz | Obstetrics & Gynecology | Paseo Dr Jose Celso Barbosa Medical Center, University District Hospital, San Juan, PR 00936 | 2017-05-18 |
| 1215481007 | Castaner & Pou LLC | Obstetrics & Gynecology | 29 Calle Washington Ste 206, Ashford Medical Center, San Juan, PR 00907-1509 | 2016-08-09 |
| 1770934283 | Maria T Carro Jimenez | Obstetrics & Gynecology | 1920 Calle Trinitaria, Urb Santa Maria, San Juan, PR 00927-6614 | 2016-06-27 |
| 1922457811 | Carla Michelle Cirino | Obstetrics & Gynecology | Puerto Rico Medical Center, Bo. Monacillos, San Juan, PR 00917 | 2016-06-10 |
| 1255739785 | Olivero Ob-gyn P.s.c | Obstetrics & Gynecology | 431 Avenida Ponce De Leon Hato Bey, National Plaza Suit 1503, San Juan, PR 00917 | 2014-12-16 |
| Find all providers in SAN JUAN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.