DR. ENGRACIA TRUYOL-VAZQUEZ (NPI# 1609080803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609080803 |
Entity Type | Individual |
Full Name | DR. ENGRACIA TRUYOL-VAZQUEZ |
Credential | M.D. |
Practice Address |
383 Ave Fd Roosevelt San Juan PR 00918-2143 |
Practice Telephone | 7876225687 |
Practice Fax Number | 8888990977 |
Mailing Telephone | 7876225687 |
Mailing Fax Number | 8888990977 |
Enumeration Date | 2007-05-09 |
Last Update Date | 2015-03-17 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
2643 | PR | Allopathic & Osteopathic Physicians |
N | 302R00000X | Health Maintenance Organization | 2634 | PR | Managed Care Organizations |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PR | DEA REGISTRATION NUMBER | AT4225137 | 01 |
PR | DM LOCAL LICENCE | DM 02325-9 | 01 |
PR | STATE LICENSE NUMBER | 2634 | 01 |
Street Address |
383 AVE FD ROOSEVELT |
City | SAN JUAN |
State | PR |
Zip Code | 00918-2143 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356565410 | Sonia Noemi Sanchez Toledo | Pharmacist | 383 Ave Fd Roosevelt, San Juan, PR 00918-2143 | 2007-04-12 |
1356721211 | Enid Marcano | Pharmacist | 383 Ave Fd Roosevelt, Suite 304, San Juan, PR 00918-2143 | 2015-06-05 |
1053700195 | Cynthia Agosto | Pharmacist | 383 Ave Fd Roosevelt, Suite 304, San Juan, PR 00918-2143 | 2015-01-13 |
1306040423 | Luis F Montaner | Pediatrics | 383 Ave Fd Roosevelt, Third Floor (humana), San Juan, PR 00918-2131 | 2007-06-13 |
1902017379 | Marjorie Maldonado-perez | Pharmacist | 383 Ave Fd Roosevelt, San Juan, PR 00918-2131 | 2007-05-25 |
1568682706 | Leslie Ann Ortiz II | Pharmacy Technician | 383 Ave Fd Roosevelt, San Juan, PR 00918-2143 | 2007-04-30 |
1497970859 | Jocelin Perez | Pharmacy Technician | 383 Ave Fd Roosevelt, San Juan, PR 00918-2143 | 2007-04-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619576873 | Stryker Puerto Rico Sales LLC | Durable Medical Equipment & Medical Supplies | Calle Federico Costa 205, Montemar Plaza Suite 103, San Juan, PR 00918 | 2020-10-20 |
1255942074 | Jose Armando Corzo Gomez | Student in an Organized Health Care Education/Training Program | 715 Ave Ponde De Leon Stop 37.5, San Juan, PR 00918 | 2020-08-14 |
1437768843 | Dra Yanira Arce-ayala | Internal Medicine | 508 Ave Eugenio Maria De Hostos#101, San Juan, PR 00918 | 2020-07-31 |
1922621010 | Xiomara Resto | Student in an Organized Health Care Education/Training Program | #550 Calle Sergio Cuevas Bustamante Ave Domenech, San Juan, PR 00918 | 2020-05-22 |
1861015299 | Carlos Vargas | Student in an Organized Health Care Education/Training Program | 550 Calle Sergio Cuevas Bustamante Esq. Ave Domenech, San Juan, PR 00918 | 2020-05-20 |
1831724665 | Flor De Liz Santiago | Social Worker | Calle Jose Oliver #205, Apto. Th109, San Juan, PR 00918 | 2020-03-12 |
1134752306 | Plaza Podiatry Center | Internal Medicine | 525 Ave Roosevelt Torre Plaza Las Americas Suite 612, San Juan, PR 00918 | 2020-02-17 |
1356973697 | Guillermo Antonio Puebla Robles | Student in an Organized Health Care Education/Training Program | 155 Art. Hostos Golden Court II, Apt 227, San Juan, PR 00918 | 2020-02-05 |
1790316842 | Marieli Figueroa-morales | Pharmacist | Ave Ponce De Leon 715 Pda 37 1/2, Hato Rey, PR 00918 | 2020-01-28 |
1518507862 | Fabiola Ramos | Student in an Organized Health Care Education/Training Program | 600 Ave Jesus T Pinero Apt 1702, San Juan, PR 00918 | 2020-01-14 |
Find all providers in zip 00918 |
Taxonomy Code | 207QA0505X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Adult Medicine |
Definition to come. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386600013 | Jorge Gabriel Colon Velez | Family Medicine | 150 Ave. De Diego, Suite 607, San Juan, PR 00907 | 2006-04-21 |
1679193445 | Poncelet Michel | Family Medicine | 151 Calle Las Lomas, San Juan, PR 00926-5527 | 2020-04-22 |
1295791267 | Jorge Gabriel Colon Martinez+ | Family Medicine | 150 Ave De Diego, San Juan Health Centre Suite 607, San Juan, PR 00907-2300 | 2006-04-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265637334 | Carlos R Sanchez | Family Medicine | Calle 5 D#5 Park Side, Guaynabo, PR 00968 | 2007-06-19 |
1083732085 | Candido Diaz Diaz Sr. | Family Medicine | 14 Ave. Luis Munoz Marin, Villa Blanca, Caguas, PR 00725 | 2007-03-27 |
1790829703 | Norma I Marrero Figueroa | Family Medicine | Edif Brisas Del Mar Oficina Num 2 Carr 693 Km 13.8, Sector Brenas, Vega Alta, PR 00692 | 2007-02-16 |
1629118567 | Grizelle M Ramirez | Family Medicine | Urb Villa Real Calle 2 B-10, Suite 3, Vega Baja, PR 00693 | 2007-02-08 |
1245370279 | Pedro Juan Claudio | Family Medicine | Hospital Upr #3 Street Km 8.3, 65 Infantery Ave, Carolina, PR 00984-6021 | 2007-02-07 |
1164575460 | Gloria Esther Hernandez | Family Medicine | Calle Colon 54 Este, San Lorenzo, PR 00754 | 2007-01-19 |
1134211121 | Fernando Luis Zayas Torres | Family Medicine | Urb. Sabanera # 69, Cidra, PR 00739 | 2006-09-28 |
1881607026 | Wilfred Gomez Saldana | Family Medicine | Road. 185 Km 5.0, Bo Campo Rico, Canovanas, PR 00729 | 2006-08-15 |
1659381432 | Jose Julio Correa Carro | Family Medicine | 55 Calle Jose Celso Barbosa S, Cayey, PR 00736-4726 | 2006-08-08 |
1518973411 | Rafael Luis Marrero | Family Medicine | Calle Pedro Rosario Num.20, Edificio Aibonito Plaza Suite C, Aibonito, PR 00705-1438 | 2006-07-31 |
Find all providers with the same taxonomy |
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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.