Individual provider Active NPI

Roberto Jorge Vazquez Vazquez

  • Pharmacist
  • San Juan, PR
National Provider Identifier
1164349676
Registry record updated Jul 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
8324 Issued in PR
Practice address
1395 Calle San Rafael
San Juan, PR 00909-2518
Phone
(787) 999-7620
NPI assigned
Jul 4, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 8324 PR Primary

Addresses

Primary practice location

1395 Calle San Rafael
San Juan, PR 00909-2518

Mailing address

141 Calle Luquillo Apt 4
San Juan, PR 00926-5568
Phone (787) 999-7620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1783123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783123200000",
    "number": "1164349676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 CALLE LUQUILLO APT 4",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009265568",
            "telephone_number": "787-999-7620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 CALLE SAN RAFAEL",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009092518",
            "telephone_number": "787-999-7620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ VAZQUEZ",
        "first_name": "ROBERTO",
        "middle_name": "JORGE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-07-04",
        "last_updated": "2026-07-04",
        "certification_date": "2026-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "8324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.