Gustavo Vazquez III, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

23499 Issued in PR

Practice address

4 Calle Rvdo Domingo Marrero
San Juan, PR 00925-2118

Phone

(787) 759-6901

NPI assigned

Oct 25, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Gustavo Vazquez Zweig Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• San Juan Medical Assoc PSC

  • Specialist
  • San Juan, PR
  • NPI 1396711198
  NPD

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

{
    "created_epoch": "1571961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790294400000",
    "number": "1275176844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 CALLE RVDO DOMINGO MARRERO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009252118",
            "telephone_number": "787-759-6901",
            "fax_number": "631-318-4866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 CALLE RVDO DOMINGO MARRERO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009252118",
            "telephone_number": "787-759-6901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29 Calle Washington Lbby",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009071510",
            "country_code": "US",
            "telephone_number": "787-721-1541",
            "fax_number": "631-318-4866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAZQUEZ",
        "first_name": "GUSTAVO",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-25",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "23499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GUSTAVO",
            "last_name": "VAZQUEZ ZWEIG",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Carlos Vazquez, 4864958
• Carlos Javier Vazquez, PH.D.
• Cinthia M Vazquez, R.D.
• Deborah Vazquez
• Fernando J Vazquez, PHD.
• Gustavo Vazquez Jr., MD
• Hector Antonio Vazquez, M.D.
• Heriberto Vazquez
• Humberto R Vazquez, M.D.
• Ian Javier Vazquez, LND, RD

• General Practice Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.