Dr Jorge Salvador Vazquez Md, MD is a medicare enrolled "General Practice" physician in Lake Ridge, Virginia. His current practice location is
12214 Oakwood Dr, Lake Ridge, Virginia. You can reach out to his office (for appointments etc.) via phone at
(703) 490-8216.
Dr Jorge Salvador Vazquez Md is licensed to practice in Puerto Rico (license number 12669) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1730484908.
Physician's Profile
Full Name | Dr Jorge Salvador Vazquez Md |
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Gender | Male |
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Speciality | General Practice |
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Location | 12214 Oakwood Dr, Lake Ridge, Virginia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1730484908
- Provider Enumeration Date: 01/20/2011
- Last Update Date: 01/20/2011
Medicare PECOS Information:
- PECOS PAC ID: 9739475757
- Enrollment ID: I20160831000035
Medical Identifiers
Medical identifiers for Dr Jorge Salvador Vazquez Md such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1730484908 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 12669 (Puerto Rico) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jorge Salvador Vazquez Md is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Jorge Salvador Vazquez Md, MD 12214 Oakwood Dr, Lake Ridge, VA 22192-1910 Ph: (703) 490-8216 | Dr Jorge Salvador Vazquez Md, MD 12214 Oakwood Dr, Lake Ridge, VA 22192-1910 Ph: (703) 490-8216 |
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