Dr Jorge Salvador Vazquez Md, MD in Lake Ridge, VA - Medicare General Practice

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.

Contact Information

	Dr Jorge Salvador Vazquez Md, MD
	12214 Oakwood Dr, Lake Ridge, VA 22192-1910
	(703) 490-8216
	(703) 497-1547

Physician's Profile

Full Name	Dr Jorge Salvador Vazquez Md
Gender	Male
Speciality	General Practice
Location	12214 Oakwood Dr, Lake Ridge, Virginia
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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Dr Jorge Salvador Vazquez Md, MD - Medicare General Practice in Lake Ridge, VA